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1639396641
JOHN L. THEODORE
NEW YORK, NY
NPI
1639396641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 68 017120)
Enumeration Date
2007-04-19
Last Update Date
2010-12-21
Business Address
Dr. JOHN L. THEODORE Ph.D.
412 AVENUE OF THE AMERICAS SUITE 413
NEW YORK, NY 10011-8409
Phone number: 646-239-7774
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Mailing Address
Dr. JOHN L. THEODORE Ph.D.
412 AVENUE OF THE AMERICAS SUITE 413
NEW YORK, NY 10011-8409
Phone number: 646-239-7774
Copy
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