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Individual

MR. DAVID L WEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
120 WASHINGTON ST, SUITE 510, WATERTOWN, NY 13601-3330
(315) 782-4483
Mailing address
120 WASHINGTON ST, SUITE 510, WATERTOWN, NY 13601-3330

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
055373
NY

Other

Enumeration date
08/05/2008
Last updated
08/05/2008
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