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1891290102
BERNARD MITCHELL
BRONX, NY
NPI
1891290102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 34126)
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
BERNARD MITCHELL CASAC-T
2488 GRAND CONCOURSE RM 417
BRONX, NY 10458-5206
Phone number: 718-584-7204
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Mailing Address
BERNARD MITCHELL CASAC-T
2488 GRAND CONCOURSE RM 417
BRONX, NY 10458-5206
Phone number: 718-584-7204
Copy
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