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Individual

ALICIA MARIE CROUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
502 COURT ST STE 210, UTICA, NY 13502-4233
(315) 507-5800
(315) 507-5802
Mailing address
502 COURT ST STE 210, UTICA, NY 13502-4233
(315) 507-5800
(315) 507-5802

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/18/2017
Last updated
05/18/2017
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