Individual
MRS. SUSAN LINDA MASTROLEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
917 GRANGER ROAD, SYRACUSE, NY 13219-2165
(315) 487-2610
Mailing address
917 GRANGER ROAD, SYRACUSE, NY 13219-2165
(315) 487-2610
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
#000377
NY
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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