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1841689676
HORACE BERNARD MCDOUGAN
JAMAICA, NY
NPI
1841689676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 23947)
Enumeration Date
2015-01-16
Last Update Date
2015-01-16
Business Address
-- HORACE BERNARD MCDOUGAN casac-t
17515 ROCKAWAY BLVD
JAMAICA, NY 11434-5503
Phone number: 718-632-3275
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Mailing Address
-- HORACE BERNARD MCDOUGAN casac-t
17515 ROCKAWAY BLVD
JAMAICA, NY 11434-5503
Phone number: 718-632-3275
Copy
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