JAMES LEONARD HAINES-BURNHAM

ITHACA, NY
NPI1699894998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R061504)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
Mr. JAMES LEONARD HAINES-BURNHAM LCSW-R
415 N TIOGA ST
ITHACA, NY 14850-4228
Phone number: 607-342-6219
Mailing Address
Mr. JAMES LEONARD HAINES-BURNHAM LCSW-R
512 UTICA ST
ITHACA, NY 14850-3642
Phone number: 607-342-6219