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1023113396
WILLIAM BLY
BUFFALO, NY
NPI
1023113396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 0004093)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
-- WILLIAM BLY CD CASAC
899 MAIN ST
BUFFALO, NY 14203
Phone number: 716-885-2833
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Mailing Address
-- WILLIAM BLY CD CASAC
800 CARTER STREET
ROCHESTER, NY 14621
Phone number: 585-339-4793
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