DEREK KENNEDY

NEW YORK, NY
NPI1821486622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  18393)
Enumeration Date2014-12-31
Last Update Date2014-12-31
Business Address
-- DEREK KENNEDY CASAC
177 E 122ND ST
NEW YORK, NY 10035-2906
Phone number: 212-360-7116
Mailing Address
-- DEREK KENNEDY CASAC
177 E 122ND ST
NEW YORK, NY 10035-2906
Phone number: 212-360-7116
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