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1912145228
MICHELLE R. EVERETT
JAMAICA, NY
NPI
1912145228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18234)
Enumeration Date
2009-01-23
Last Update Date
2009-01-23
Business Address
Ms. MICHELLE R. EVERETT CASAC
14732 JAMAICA AVE
JAMAICA, NY 11435-4042
Phone number: 718-523-4242
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Mailing Address
Ms. MICHELLE R. EVERETT CASAC
13417 166TH PL APT. #10F
JAMAICA, NY 11434-3846
Phone number: 347-392-2195
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