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1619690088
CLARK TREVOR SOULIA
BINGHAMTON, NY
NPI
1619690088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 101176)
Enumeration Date
2022-09-21
Last Update Date
2022-09-26
Business Address
Mr. CLARK TREVOR SOULIA LMSW
35 FELTERS RD
BINGHAMTON, NY 13903-2600
Phone number: 607-201-1200
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Mailing Address
Mr. CLARK TREVOR SOULIA LMSW
2570 ROUTE 9W STE 10
CORNWALL, NY 12518-1370
Phone number: 845-220-3100
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