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1639454101
THOMAS JOHN DURHAM
CANANDAIGUA, NY
NPI
1639454101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 069779)
Enumeration Date
2011-10-17
Last Update Date
2011-10-17
Business Address
Mr. THOMAS JOHN DURHAM LCSW-R
18 DOUGLAS DR
CANANDAIGUA, NY 14424-1018
Phone number: 585-703-8942
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Mailing Address
Mr. THOMAS JOHN DURHAM LCSW-R
18 DOUGLAS DR
CANANDAIGUA, NY 14424-1018
Phone number: 585-703-8942
Copy
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