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1821690645
CLARENCE EVERSLEY
VALLEY STREAM, NY
NPI
1821690645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-11-16
Last Update Date
2020-11-16
Business Address
Mr. CLARENCE EVERSLEY
497 ROCKAWAY AVE
VALLEY STREAM, NY 11581-1909
Phone number: 718-845-2621
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Mailing Address
Mr. CLARENCE EVERSLEY
61 ESSEX RD
ELMONT, NY 11003-2022
Phone number: 908-387-3288
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