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1730520537
BRIAN EDWARD BURGESS
ONEONTA, NY
NPI
1730520537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-07-10
Last Update Date
2013-07-10
Business Address
Mr. BRIAN EDWARD BURGESS CASAC-T
242 MAIN ST
ONEONTA, NY 13820-2527
Phone number: 607-431-1030
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Mailing Address
Mr. BRIAN EDWARD BURGESS CASAC-T
2 HARRISON AVE
ONEONTA, NY 13820-1107
Phone number: 607-434-9646
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