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1467811281
GOWON FISHER
MONTICELLO, NY
NPI
1467811281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- GOWON FISHER CASAC-T
17 HAMILTON AVE
MONTICELLO, NY 12701-1319
Phone number: 845-794-8080
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Mailing Address
-- GOWON FISHER CASAC-T
17 HAMILTON AVE
MONTICELLO, NY 12701-1319
Phone number: 845-794-8080
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