Individual
BETH AMY DISHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 E GENESEE ST, AUBURN, NY 13021-4040
(315) 253-9795
Mailing address
17 E GENESEE ST, AUBURN, NY 13021-4040
(315) 253-9795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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