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Individual

MR. ROBERT EDMUND DUGAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC T 28543

Contact information

Practice address
590 FLATBUSH AVE, APT 6P, BROOKLYN, NY 11225-4966
(718) 522-0371
Mailing address
590 FLATBUSH AVE, APT 6P, BROOKLYN, NY 11225-4966
(718) 522-0371

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28543
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BROOKLYNROB
NY
Enumeration date
01/31/2013
Last updated
01/31/2013
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