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Individual

ROBERT MULFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
526 OLD LIVERPOOL RD STE 9, LIVERPOOL, NY 13088-6285
(315) 453-3911
(315) 453-0197
Mailing address
133 1/2 CLINTON AVE, CORTLAND, NY 13045-1316

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37630-T
NY

Other

Enumeration date
01/26/2024
Last updated
04/16/2024
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