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1932300563
JERRY DAVIS
BROOKLYN, NY
NPI
1932300563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Mr. JERRY DAVIS
348 13TH ST
BROOKLYN, NY 11215-5004
Phone number: 718-788-2461
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Mailing Address
Mr. JERRY DAVIS
296 12TH ST APT 4L
BROOKLYN, NY 11215-4984
Phone number: 718-788-2461
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