Individual
MRS. DARLENE DIANE ST.AMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
139 WHITE BIRCH LANE, INDIAN LAKE, NY 12842-0250
(518) 648-6497
(518) 648-6143
Mailing address
139 WHITE BIRCH LANE, PO BOX 250, INDIAN LAKE, NY 12842-0250
(518) 648-6497
(518) 648-6143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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