TODD GEROME MIX

ROCHESTER, NY
NPI1003270349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  088157-1)
Enumeration Date2016-04-13
Last Update Date2016-04-13
Business Address
-- TODD GEROME MIX LMSW
490 E RIDGE RD
ROCHESTER, NY 14621-1229
Phone number: 585-922-2570
Mailing Address
-- TODD GEROME MIX LMSW
490 E RIDGE RD
ROCHESTER, NY 14621-1229
Phone number: 585-922-2570
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