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1962076927
MOSES DOUSE
BROOKLYN, NY
NPI
1962076927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 20038)
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
MOSES DOUSE CASAC 2-20038
882 BERGEN ST
BROOKLYN, NY 11238-1123
Phone number: 718-613-7510
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Mailing Address
MOSES DOUSE CASAC 2-20038
882 BERGEN ST OTP-MMT
BROOKLYN, NY 11238
Phone number: 718-613-7510
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