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1891398863
IRICK ARMEL LASSITER
STATEN ISLAND, NY
NPI
1891398863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 36443)
Enumeration Date
2020-11-20
Last Update Date
2020-11-20
Business Address
IRICK ARMEL LASSITER
1268 FOREST AVE
STATEN ISLAND, NY 10302-2312
Phone number: 718-981-8117
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Mailing Address
IRICK ARMEL LASSITER
1268 FOREST AVE
STATEN ISLAND, NY 10302-2312
Phone number: 718-981-8117
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