Individual
LISA FETTINGER PEZZOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 KRUMKILL ROAD, SLINGERLANDS, NY 12159-9303
(518) 459-0750
Mailing address
1310 KNOX CAVE ROAD, DELANSON, NY 12053
(518) 872-9890
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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