JOSEPH BLAKE

STATEN ISLAND, NY
NPI1952671844
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  6589)
Enumeration Date2012-01-09
Last Update Date2012-01-09
Business Address
Mr. JOSEPH BLAKE CASAC
273 HEBERTON AVE
STATEN ISLAND, NY 10302-1809
Phone number: 718-816-6589
Mailing Address
Mr. JOSEPH BLAKE CASAC
273 HEBERTON AVE
STATEN ISLAND, NY 10302-1809
Phone number: 718-816-6589
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