LARRY THOMAS DONALDSON

FARMINGVILLE, NY
NPI1417243353
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  18414)
Enumeration Date2011-06-20
Last Update Date2011-06-20
Business Address
Mr. LARRY THOMAS DONALDSON casac
129 RIDGEWOOD AVE
FARMINGVILLE, NY 11738-1618
Phone number: 631-772-8547
Mailing Address
Mr. LARRY THOMAS DONALDSON casac
129 RIDGEWOOD AVE
FARMINGVILLE, NY 11738-1618
Phone number: 631-772-8547
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