RICHARD PAUL FLAVILLE

ITHACA, NY
NPI1457628976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  20173)
Enumeration Date2011-11-29
Last Update Date2011-11-29
Business Address
Mr. RICHARD PAUL FLAVILLE CASAC
201 E GREEN ST
ITHACA, NY 14850-5635
Phone number: 607-274-6288
Mailing Address
Mr. RICHARD PAUL FLAVILLE CASAC
201 E GREEN ST
ITHACA, NY 14850-5635
Phone number: 607-274-6288
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