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1821486622
DEREK KENNEDY
NEW YORK, NY
NPI
1821486622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18393)
Enumeration Date
2014-12-31
Last Update Date
2014-12-31
Business Address
-- DEREK KENNEDY CASAC
177 E 122ND ST
NEW YORK, NY 10035-2906
Phone number: 212-360-7116
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Mailing Address
-- DEREK KENNEDY CASAC
177 E 122ND ST
NEW YORK, NY 10035-2906
Phone number: 212-360-7116
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