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1982842696
FRED ROCHE
NEW YORK, NY
NPI
1982842696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 17744)
Enumeration Date
2009-02-03
Last Update Date
2009-02-03
Business Address
-- FRED ROCHE CASAC-T
139 W 93RD ST APT 3A
NEW YORK, NY 10025-7542
Phone number: 917-860-2874
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Mailing Address
-- FRED ROCHE CASAC-T
139 W 93RD ST APT 3A
NEW YORK, NY 10025-7542
Phone number: 917-860-2874
Copy
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