Mary Demunn BS, CASAC

NPI 1639329808 - Counselor - 101YA0400X

NPI Details
NPI 1639329808
Gender Female
Enumeration Date 09/24/2008
Last Updated 10/20/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
10 N MAIN ST
CORTLAND NY, 13045-2130, US
Phone (607) 753-0234
Fax (607) 753-0286
Business Location
10 N MAIN ST
CORTLAND NY, 13045-2130, US
Phone (607) 753-0234
Fax (607) 753-0286
Toxanomy
Taxonomy Code 101YA0400X
License State New York
License Number 21308
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According to our database, Mary Demunn BS, CASAC NPI is 1639329808, taxonomy code is 101YA0400X and license number is 21308, license state is located at New York. Mary Demunn BS, CASAC physically located at 10 N Main St, Cortland NY, 13045-2130. NPI Number Mary Demunn BS, CASAC has the Individual type.

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1639329808 NPI number is provided on an as is basis without warranty of any kind. 1639329808 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Demunn BS, CASAC are for informational purposes only.