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1134505167
JASON WORTHINGTON
BUFFALO, NY
NPI
1134505167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-07-31
Last Update Date
2015-07-31
Business Address
-- JASON WORTHINGTON
254 VIRGINIA ST
BUFFALO, NY 14201-1938
Phone number: 716-768-4040
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Mailing Address
-- JASON WORTHINGTON
1776 CLAY AVE
BRONX, NY 10457-7239
Phone number: 347-649-3022
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