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1558782524
GARY MAYNE
SYRACUSE, NY
NPI
1558782524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY R0395611)
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
GARY MAYNE LCSW
742 JAMES ST
SYRACUSE, NY 13203-2017
Phone number: 315-703-2773
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Mailing Address
GARY MAYNE LCSW
742 JAMES ST
SYRACUSE, NY 13203-2017
Phone number: 315-703-2773
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