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1912789744
ALVINA TAKISHA MULLIGAN
BRONX, NY
NPI
1912789744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 38846)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
ALVINA TAKISHA MULLIGAN CASAC-T
764 E 176TH ST
BRONX, NY 10460-4606
Phone number: 718-542-8770
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Mailing Address
ALVINA TAKISHA MULLIGAN CASAC-T
764 E 176TH ST
BRONX, NY 10460-4606
Phone number: 718-542-8770
Copy
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