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Organization
WALK WITH GRACE
Active
Organization
WALK WITH GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE PUCHALSKI LCSW-R (OWNER)
(315) 278-4523
Entity
Organization
Contact information
Practice address
435 S MAIN ST, TEMPORARY ADDRESS, N SYRACUSE, NY 13212-2811
(315) 278-4523
Mailing address
PO BOX 880, CENTRAL SQUARE, NY 13036-0880
(313) 278-4523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R046862
NY
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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