Individual
MS. CAROL LILIETH ADAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1119 E 59TH ST, BROOKLYN, NY 11234-3301
(347) 575-7698
Mailing address
1119 E 59TH ST, BROOKLYN, NY 11234-3301
(347) 575-7698
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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