Individual
MIRANDA L DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 OLD LIVERPOOL RD STE 9, LIVERPOOL, NY 13088-6285
(315) 453-3911
(315) 453-0197
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38913-T
NY
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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