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1598859092
ALPHONSO MITCHUM
ALBANY, NY
NPI
1598859092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 069423-1)
Enumeration Date
2006-10-02
Last Update Date
2008-07-28
Business Address
Mr. ALPHONSO MITCHUM LCSW
113 HOLLAND AVE
ALBANY, NY 12208-3410
Phone number: 518-626-5162
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Mailing Address
Mr. ALPHONSO MITCHUM LCSW
350 CLINTON AVENUE
ALBANY, NY 12206
Phone number: 518-626-5317
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