GARY L SHORT

BATH, NY
NPI1164674677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R02539-1)
Enumeration Date2008-10-15
Last Update Date2008-10-15
Business Address
Mr. GARY L SHORT LCSW-R
7634 CAMPBELL CREEK RD FAMILY LIFE MINISTRIES
BATH, NY 14810-7612
Phone number: 607-776-4151
Mailing Address
Mr. GARY L SHORT LCSW-R
7815 COUNTY ROUTE 13
BATH, NY 14810-7904
Phone number: 607-776-4151
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