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1598023053
WILLIAM ROY IVES
ITHACA, NY
NPI
1598023053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- WILLIAM ROY IVES
201 E GREEN ST STE 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
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Mailing Address
-- WILLIAM ROY IVES
201 E GREEN ST STE 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
Copy
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