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Individual

MELVIN SPANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
175 REMSEN ST, SUITE 1010, BROOKLYN, NY 11201-4333
(718) 852-5552
Mailing address
437 BAINBRIDGE ST, APT 2, BROOKLYN, NY 11233-2010
(718) 852-5552

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23224
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23224
CASAC
NY
Enumeration date
07/21/2014
Last updated
07/21/2014
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