JIM K INTHANONGSAK

BATH, NY
NPI1326474131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  090203-1)
Enumeration Date2013-09-25
Last Update Date2013-09-25
Business Address
MR. JIM K INTHANONGSAK
76 VETERANS AVE
BATH, NY 14810-0810
Phone number: 607-664-4335
Mailing Address
MR. JIM K INTHANONGSAK
115 ORCHARD ST
HORSEHEADS, NY 14845-2415
Phone number:
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