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1912625252
RAYMOND PETTWAY
BROOKLYN, NY
NPI
1912625252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 26157)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
RAYMOND PETTWAY CASAC
141 S 3RD ST
BROOKLYN, NY 11211-5509
Phone number: 718-782-6802
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Mailing Address
RAYMOND PETTWAY CASAC
311 E 175TH ST
BRONX, NY 10457-5859
Phone number: 718-960-7568
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