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1457515199
JOHN ANTHONY SOUTHWORTH
TROY, NY
NPI
1457515199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NY 001436-1)
Enumeration Date
2008-07-11
Last Update Date
2009-10-09
Business Address
JOHN ANTHONY SOUTHWORTH LMHC
2215 BURDETT AVE
TROY, NY 12180-2466
Phone number: 518-271-3128
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Mailing Address
JOHN ANTHONY SOUTHWORTH LMHC
2215 BURDET T AVE.
TROY, NY 12180-2466
Phone number: 518-271-3128
Copy
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