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Organization
WELLNESSTHERAPY CENTER
Active
Organization
WELLNESSTHERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON M RICE LCSW-R (OWNER)
(315) 703-0168
Entity
Organization
Contact information
Practice address
404 OAK ST, SYRACUSE, NY 13203-2997
(315) 703-0168
(315) 299-2530
Mailing address
404 OAK ST, SYRACUSE, NY 13203-2997
(315) 703-0168
(315) 299-2530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R051117
NY
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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