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1174752505
MOONHAWK RIVER STONE
SCHENECTADY, NY
NPI
1174752505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 002450-1)
Enumeration Date
2009-07-07
Last Update Date
2009-07-07
Business Address
Mr. MOONHAWK RIVER STONE M.S.
1448 DALTON DR
SCHENECTADY, NY 12308-2124
Phone number: 518-506-1261
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Mailing Address
Mr. MOONHAWK RIVER STONE M.S.
PO BOX 9179
NISKAYUNA, NY 12309-0179
Phone number: 518-506-1261
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