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1568482107
JOHN DAVID SOTHERDEN
SYRACUSE, NY
NPI
1568482107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 067183-1)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Mr. JOHN DAVID SOTHERDEN LMSW
1031 E FAYETTE ST
SYRACUSE, NY 13210-1022
Phone number: 315-425-4400
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Mailing Address
Mr. JOHN DAVID SOTHERDEN LMSW
218 LORRAINE AVE
SYRACUSE, NY 13210-3230
Phone number: 315-425-4400
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