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1831469816
JOHN COLEMAN
STATEN ISLAND, NY
NPI
1831469816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 8251)
Enumeration Date
2012-01-06
Last Update Date
2012-01-06
Business Address
Mr. JOHN COLEMAN CASAC
263 PORT RICHMOND AVE
STATEN ISLAND, NY 10302-1704
Phone number: 718-981-8117
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Mailing Address
Mr. JOHN COLEMAN CASAC
36 BARTLETT AVE
STATEN ISLAND, NY 10312-3801
Phone number: 718-981-8117
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