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Individual

HOLLIE SKINNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1031 E FAYETTE ST, SYRACUSE, NY 13210-1022
(315) 732-3431
Mailing address
218 PARKWAY DR, SYRACUSE, NY 13207-1838
(315) 750-5584

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/08/2022
Last updated
06/08/2022
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