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1770068181
BRANDI E BAUM
ITHACA, NY
NPI
1770068181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
BRANDI E BAUM CASAC-T
201 E GREEN ST STE 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
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Mailing Address
BRANDI E BAUM CASAC-T
161 CENTRAL AVE APT 2
CORTLAND, NY 13045-2704
Phone number: 607-591-4886
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