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1639400013
MICHAEL SCOTT HERMAN
ROCHESTER, NY
NPI
1639400013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 19965)
Enumeration Date
2010-01-25
Last Update Date
2010-01-25
Business Address
Mr. MICHAEL SCOTT HERMAN CASAC
490 E RIDGE RD
ROCHESTER, NY 14621-1229
Phone number: 585-922-2587
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Mailing Address
Mr. MICHAEL SCOTT HERMAN CASAC
490 E RIDGE RD
ROCHESTER, NY 14621-1229
Phone number: 585-922-2587
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