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1023122207
CHARLES PIERSON
NIAGARA FALLS, NY
NPI
1023122207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 015190-1)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
-- CHARLES PIERSON
419 WALNUT AVE
NIAGARA FALLS, NY 14301-1725
Phone number: 716-285-1904
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Mailing Address
-- CHARLES PIERSON
24 ARDMORE PL
BUFFALO, NY 14213-1446
Phone number:
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