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1093170102
THOMASINA WHITE
LIVERPOOL, NY
NPI
1093170102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: 24259)
Enumeration Date
2015-12-17
Last Update Date
2023-10-05
Business Address
THOMASINA WHITE CASAC
526 OLD LIVERPOOL RD
LIVERPOOL, NY 13088-6238
Phone number: 315-453-3911
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Mailing Address
THOMASINA WHITE CASAC
239 E GLEN AVE
SYRACUSE, NY 13205-2346
Phone number:
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