Individual
MISS ALEXIS ROSE FOBARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53 COLUMBIA ST, MOHAWK, NY 13407-1530
(315) 868-0205
Mailing address
53 COLUMBIA ST, MOHAWK, NY 13407-1530
(315) 868-0205
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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