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1861704264
CARLOS FUENTES
WHITE PLAINS, NY
NPI
1861704264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 02249145)
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
-- CARLOS FUENTES
20 CHURCH ST
WHITE PLAINS, NY 10601-1901
Phone number: 914-421-0400
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Mailing Address
-- CARLOS FUENTES
20 CHURCH ST
WHITE PLAINS, NY 10601-1901
Phone number: 914-421-0400
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