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1003325119
DAVID LEE FORD
SYRACUSE, NY
NPI
1003325119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2017-09-21
Last Update Date
2017-09-21
Business Address
DAVID LEE FORD
375 W ONONDAGA ST
SYRACUSE, NY 13202-1888
Phone number: 315-478-2030
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Mailing Address
DAVID LEE FORD
524 TUSCARORA RD
CHITTENANGO, NY 13037-9731
Phone number: 518-368-5733
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