RANDYL SHANE CHASE

CANTON, NY
NPI1689232860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  35354)
Enumeration Date2019-06-03
Last Update Date2019-06-03
Business Address
RANDYL SHANE CHASE
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617-1493
Phone number: 315-386-2189
Mailing Address
RANDYL SHANE CHASE
136 WILSON ST
GOUVERNEUR, NY 13642-3270
Phone number: 315-573-6689
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