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1962805341
MICHAEL LAWRENCE
BRONX, NY
NPI
1962805341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18008)
Enumeration Date
2014-09-30
Last Update Date
2014-09-30
Business Address
Mr. MICHAEL LAWRENCE CASAC 18008
1600 MACOMBS RD
BRONX, NY 10452-2016
Phone number: 718-299-3300
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Mailing Address
Mr. MICHAEL LAWRENCE CASAC 18008
1086 HOME ST APT 2M
BRONX, NY 10459-2618
Phone number: 347-341-2793
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