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Individual

ANGELETTE PEMBERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2369 2ND AVE, NEW YORK, NY 10035-3108
Mailing address
2369 2ND AVE, NEW YORK, NY 10035-3108
(212) 876-2300
(212) 722-7618

Taxonomy

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

Other

Enumeration date
07/17/2019
Last updated
07/17/2019
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