Individual
DANIEL LADOUCEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4099
(315) 323-9548
Mailing address
497 NEWELL ST APT 203, WATERTOWN, NY 13601-7406
(315) 323-9548
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
729031-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404972
NY
Other
Enumeration date
02/08/2023
Last updated
06/20/2023
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