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Individual
TIMOTHY P BRENNAN
Active
Individual
TIMOTHY P BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11384
NY
104100000X
Social Worker
Primary
079207-1
NY
Other
Enumeration date
07/31/2008
Last updated
05/17/2010
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