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1992012603
BEAVIN FOWLER
NEW YORK, NY
NPI
1992012603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-02
Last Update Date
2010-09-02
Business Address
-- BEAVIN FOWLER CASAC-T
19 UNION SQ W 7TH FLOOR
NEW YORK, NY 10003-3304
Phone number: 212-627-9600
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Mailing Address
-- BEAVIN FOWLER CASAC-T
19 UNION SQ W 7TH FLOOR
NEW YORK, NY 10003-3304
Phone number: 212-627-9600
Copy
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