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Individual

JOE RAYMOND ON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC # 20936

Contact information

Practice address
175 REMSEN ST STE 900, BROOKLYN, NY 11201-4300
(718) 858-6631
(347) 689-4677
Mailing address
175 REMSEN ST STE 900, BROOKLYN, NY 11201-4300
(718) 858-6631
(347) 689-4677

Taxonomy

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

Other

Enumeration date
11/01/2019
Last updated
11/01/2019
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