DORR DUANE PULVER

CAMILLUS, NY
NPI1568832939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  18695)
Enumeration Date2015-09-29
Last Update Date2015-09-29
Business Address
-- DORR DUANE PULVER CASAC
5700 W GENESEE ST SUITE 118
CAMILLUS, NY 13031-3200
Phone number: 315-488-1641
Mailing Address
-- DORR DUANE PULVER CASAC
2286 CLARK HOLLOW RD
LA FAYETTE, NY 13084-9566
Phone number: 315-488-1641
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