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Individual

DAESEAN CLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
248 HARRISON AVE # 1009, HARRISON, NY 10528-3607
(475) 329-0559
Mailing address
69 SOUTH ST FL 1, DANBURY, CT 06810-8131
(203) 300-1236

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P117815
NY

Other

Enumeration date
02/01/2023
Last updated
02/01/2023
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