DAVID A MANCUSO

UTICA, NY
NPI1528110988
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  R058445-1)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
-- DAVID A MANCUSO LCSW
1402 GENESEE ST
UTICA, NY 13502-4727
Phone number: 315-735-8913
Mailing Address
-- DAVID A MANCUSO LCSW
PO BOX 8307
UTICA, NY 13505-8307
Phone number: 315-735-8913
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