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1881142925
BRIAN THOMPSON
NEW YORK, NY
NPI
1881142925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 00137167)
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
-- BRIAN THOMPSON CRC
5 W 86TH ST APT 1A
NEW YORK, NY 10024-3663
Phone number: 646-204-1431
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Mailing Address
-- BRIAN THOMPSON CRC
238 W 4TH ST APT 1A
NEW YORK, NY 10014-2688
Phone number: 646-204-1431
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