KEVIN BANTUM

BROOKLYN, NY
NPI1992342331
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-12-04
Last Update Date2019-12-04
Business Address
KEVIN BANTUM
1041 BERGEN ST
BROOKLYN, NY 11216-3307
Phone number: 718-771-0760
Mailing Address
KEVIN BANTUM
1041 BERGEN ST
BROOKLYN, NY 11216-3307
Phone number:
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