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1124711536
JOHN ROBERT KLENCHIK
ITHACA, NY
NPI
1124711536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 086820)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
JOHN ROBERT KLENCHIK LMSW
418 N TIOGA ST
ITHACA, NY 14850-5293
Phone number: 607-427-3939
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Mailing Address
JOHN ROBERT KLENCHIK LMSW
11 KENTUCKY AVE
TRUMANSBURG, NY 14886-9527
Phone number: 607-427-3939
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