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1861556987
GEORGE ALLAN TERRY
ITHACA, NY
NPI
1861556987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY R046798-1)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
Mr. GEORGE ALLAN TERRY LCSW-R
201 E GREEN ST
ITHACA, NY 14850-5635
Phone number: 607-274-6288
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Mailing Address
Mr. GEORGE ALLAN TERRY LCSW-R
9857 CASE RD
INTERLAKEN, NY 14847-9751
Phone number: 607-387-4813
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