Individual
DEBORAH L. STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 THURBER DR, WATERLOO, NY 13165-1600
(315) 539-1985
(315) 539-4393
Mailing address
31 THURBER DR, WATERLOO, NY 13165-1600
(315) 539-1985
(315) 539-4393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2008
Last updated
09/18/2008
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