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1053403360
MARIAN I MUMFORD
ITHACA, NY
NPI
1053403360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R042566)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- MARIAN I MUMFORD MSW
313 N TIOGA ST
ITHACA, NY 14850-4205
Phone number: 607-272-9773
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Mailing Address
-- MARIAN I MUMFORD MSW
313 N TIOGA ST
ITHACA, NY 14850-4205
Phone number: 607-272-9773
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