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1942612213
DENNIS SMALLS
NEW YORK, NY
NPI
1942612213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 20493)
Enumeration Date
2014-05-21
Last Update Date
2014-05-21
Business Address
Mr. DENNIS SMALLS CASAC
73 LENOX AVE
NEW YORK, NY 10026-3007
Phone number: 212-663-1596
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Mailing Address
Mr. DENNIS SMALLS CASAC
2255 HAVILAND AVE APT J
BRONX, NY 10462-5216
Phone number: 212-663-1596
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