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1821239955
MELVYN WILDER
NEW YORK, NY
NPI
1821239955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18224)
Enumeration Date
2009-03-19
Last Update Date
2010-10-29
Business Address
Mr. MELVYN WILDER CASAC
116 JOHN ST FL 27
NEW YORK, NY 10038-3414
Phone number: 212-964-0128
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Mailing Address
Mr. MELVYN WILDER CASAC
116 JOHN ST FL 27
NEW YORK, NY 10038-3414
Phone number: 212-964-0128
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