Individual
MS. ANITA H STOUDYMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
188 GENESEE ST, SUITE 102, AUBURN, NY 13021-3324
(315) 255-3559
(315) 255-3823
Mailing address
188 GENESEE ST, AUBURN, NY 13021-3324
(315) 255-3559
(315) 255-3823
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
070511469
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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