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1134215320
ANTHONY JOSEPH COTRACCIA
ITHACA, NY
NPI
1134215320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 048398)
Enumeration Date
2006-10-05
Last Update Date
2008-12-15
Business Address
Mr. ANTHONY JOSEPH COTRACCIA LCSW-R
207 E COURT ST
ITHACA, NY 14850-4279
Phone number: 607-351-5839
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Mailing Address
Mr. ANTHONY JOSEPH COTRACCIA LCSW-R
207 E COURT ST
ITHACA, NY 14850-4279
Phone number: 607-351-5839
Copy
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