Individual
MARI-LEE L VAN SCOTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 QUEENS WAY APT 1, CAMILLUS, NY 13031-1732
(315) 882-5531
Mailing address
32 QUEENS WAY APT 1, CAMILLUS, NY 13031-1732
(315) 882-5531
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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