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1386043222
DEAN KELLERHOUSE
ELMIRA, NY
NPI
1386043222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 478)
Enumeration Date
2014-08-16
Last Update Date
2015-02-24
Business Address
Mr. DEAN KELLERHOUSE LCAC
150 LAKE ST 2ND FLOOR
ELMIRA, NY 14901-3401
Phone number: 607-737-5215
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Mailing Address
Mr. DEAN KELLERHOUSE LCAC
150 LAKE ST 2ND FLOOR
ELMIRA, NY 14901-3401
Phone number: 607-737-5215
Copy
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