Individual
MISS CARLY ANNE LEWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
418 CAYUGA ST, SYRACUSE, NY 13204-1810
(315) 380-2239
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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