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Individual

ANDRE L MCENTYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCADC, MSW

Contact information

Practice address
78 LAFAYETTE ST APT 3, PATERSON, NJ 07501-1149
(973) 876-3390
Mailing address
22-08 ROUTE 208 STE 2, FAIR LAWN, NJ 07410-2609
(800) 741-3300

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00290900
NJ

Other

Enumeration date
03/24/2021
Last updated
03/24/2021
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