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1063994366
DORETHA MICHELLE BAKER
CORTLAND, NY
NPI
1063994366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NY CASAC2-27390)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
DORETHA MICHELLE BAKER CASAC
165 MAIN ST STE A
CORTLAND, NY 13045-3049
Phone number: 607-753-0234
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Mailing Address
DORETHA MICHELLE BAKER CASAC
165 MAIN ST STE A
CORTLAND, NY 13045-3049
Phone number: 607-753-0234
Copy
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