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Individual

MR. BRIAN HUGH MARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW-R

Contact information

Practice address
19 W 34TH ST, PENTHOUSE, NEW YORK, NY 10001-3006
(646) 353-0646
Mailing address
PO BOX 8322, PELHAM, NY 10803-8322
(646) 353-0646

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary
043504-1
NY

Other

Enumeration date
05/13/2010
Last updated
05/13/2010
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