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1982992434
ODETTE SANTIAGO
JAMAICA, NY
NPI
1982992434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 12538)
Enumeration Date
2011-07-19
Last Update Date
2011-07-19
Business Address
Mrs. ODETTE SANTIAGO CASAC
82-68 164TH STREET
JAMAICA, NY 11432
Phone number: 718-883-4944
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Mailing Address
Mrs. ODETTE SANTIAGO CASAC
79-01 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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