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1063732014
ANTHONY DAVIS
MONTICELLO, NY
NPI
1063732014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-06-01
Last Update Date
2010-06-01
Business Address
Mr. ANTHONY DAVIS
396 BROADWAY
MONTICELLO, NY 12701-1157
Phone number: 845-794-8080
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Mailing Address
Mr. ANTHONY DAVIS
100 HARMONY LN
MONTICELLO, NY 12701-7433
Phone number: 845-798-0894
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