Individual
LOUIS SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRPA
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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