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1003323999
ROSS LOUCY
SYRACUSE, NY
NPI
1003323999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 077207)
Enumeration Date
2018-01-02
Last Update Date
2018-01-02
Business Address
ROSS LOUCY
620 MADISON ST
SYRACUSE, NY 13210-2319
Phone number: 315-426-7675
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Mailing Address
ROSS LOUCY
620 MADISON ST
SYRACUSE, NY 13210-2319
Phone number: 315-426-7675
Copy
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