JOHN ANTHONY SOUTHWORTH

TROY, NY
NPI1457515199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  001436-1)
Enumeration Date2008-07-11
Last Update Date2009-10-09
Business Address
-- JOHN ANTHONY SOUTHWORTH LMHC
2215 BURDETT AVE
TROY, NY 12180-2466
Phone number: 518-271-3128
Mailing Address
-- JOHN ANTHONY SOUTHWORTH LMHC
2215 BURDET T AVE.
TROY, NY 12180-2466
Phone number: 518-271-3128
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