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Individual
WILFREDO MALE CORREA
Active
Individual
WILFREDO MALE CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CRPA-5781
NY
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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