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1770507014
RICHARD L DECROSTA
KINGSTON, NY
NPI
1770507014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 001215)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- RICHARD L DECROSTA
139 CORNELL ST
KINGSTON, NY 12401-3633
Phone number: 845-338-1234
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Mailing Address
-- RICHARD L DECROSTA
909 STATE ROUTE 299
GARDINER, NY 12525-5022
Phone number: 845-338-1234
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