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1972178432
LUTHER CARLETON ELLIOTT
BRONX, NY
NPI
1972178432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
LUTHER CARLETON ELLIOTT
5676 RIVERDALE AVE
BRONX, NY 10471-2138
Phone number: 718-796-5300
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Mailing Address
LUTHER CARLETON ELLIOTT
5737 FARADAY AVE APT 2
BRONX, NY 10471-2201
Phone number: 347-326-6757
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