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Individual

MR. DAVID LAWERENCE CROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC-TRAINEE

Contact information

Practice address
62 E BROADWAY, NEW YORK, NY 10002-6844
(212) 343-3591
Mailing address
62 E BROADWAY, NEW YORK, NY 10002-6844
(212) 343-3591

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28529
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28529
CASAC TRAINEE
NY
Enumeration date
12/04/2017
Last updated
12/04/2017
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