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1801118401
DAVID WHITE
LATHAM, NY
NPI
1801118401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 21759)
Enumeration Date
2010-02-23
Last Update Date
2010-02-23
Business Address
Mr. DAVID WHITE
636 NEW LOUDON RD
LATHAM, NY 12110-4002
Phone number: 151-878-3538
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Mailing Address
Mr. DAVID WHITE
636 NEW LOUDON RD
LATHAM, NY 12110-4002
Phone number: 151-878-3538
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