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1104972322
MICHAEL DAVID CLOSE
LIVERPOOL, NY
NPI
1104972322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- MICHAEL DAVID CLOSE LMSW
990 7TH NORTH ST
LIVERPOOL, NY 13088-3148
Phone number: 315-634-1100
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Mailing Address
-- MICHAEL DAVID CLOSE LMSW
107 DALE ST
SYRACUSE, NY 13208-2325
Phone number: 315-634-1100
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