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1518430982
ALICE CHANTHASENSAK
SYRACUSE, NY
NPI
1518430982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NY 001545-1)
Enumeration Date
2019-01-08
Last Update Date
2020-03-04
Business Address
ALICE CHANTHASENSAK
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-472-4471
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Mailing Address
ALICE CHANTHASENSAK
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number:
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