CHARLES MOAK

GLENS FALLS, NY
NPI1942566179
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  3689)
Enumeration Date2012-04-02
Last Update Date2020-11-20
Business Address
CHARLES MOAK CASAC
55 ELM ST
GLENS FALLS, NY 12801-3549
Phone number: 518-793-7273
Mailing Address
CHARLES MOAK CASAC
11 TALLOW WOOD CT
CLIFTON PARK, NY 12065-2806
Phone number: 518-369-6962
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