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1295060713
HAROLD DAVID BUSH
ROCHESTER, NY
NPI
1295060713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 3339)
Enumeration Date
2009-10-16
Last Update Date
2009-10-16
Business Address
Mr. HAROLD DAVID BUSH CASAC
490 E RIDGE RD
ROCHESTER, NY 14621-1229
Phone number: 585-922-2622
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Mailing Address
Mr. HAROLD DAVID BUSH CASAC
490 E RIDGE RD
ROCHESTER, NY 14621-1229
Phone number: 585-922-2622
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