MR. Wilfred Joseph Recore, BIS I

NPI #1720675283 in Malone, New York

Provider Information

NPI Number: 1720675283
Entity Type: Individual
Name: MR. Wilfred Joseph Recore, BIS I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: BIS I
Enumeration Date: Dec 30, 2020
Last Updated: Dec 30, 2020

Practice Location

Address: 31 6TH ST
City: Malone
State: New York
ZIP Code: 12953-1246
Phone: (518) 483-3261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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