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1699894998
JAMES LEONARD HAINES-BURNHAM
ITHACA, NY
NPI
1699894998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R061504)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mr. JAMES LEONARD HAINES-BURNHAM LCSW-R
415 N TIOGA ST
ITHACA, NY 14850-4228
Phone number: 607-342-6219
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Mailing Address
Mr. JAMES LEONARD HAINES-BURNHAM LCSW-R
512 UTICA ST
ITHACA, NY 14850-3642
Phone number: 607-342-6219
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