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Individual

KENNETH WORTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
242 MAIN ST STE 2, ONEONTA, NY 13820-2527
(607) 431-1030
Mailing address
PO BOX 72, CHARLOTTEVILLE, NY 12036-0072
(607) 765-3612

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NY

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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