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1568931293
LEON LANSING DICKINSON
WATERTOWN, NY
NPI
1568931293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 18-000860)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
LEON LANSING DICKINSON
482 BLACK RIVER PKWY
WATERTOWN, NY 13601-2416
Phone number: 315-782-1777
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Mailing Address
LEON LANSING DICKINSON
919 BOYD ST
WATERTOWN, NY 13601-3522
Phone number: 315-788-2835
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