Individual
MS. ANITA D. DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6110
(607) 758-6116
Mailing address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6110
(607) 758-6116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
075607-1
NY
Other
Enumeration date
10/05/2007
Last updated
02/15/2011
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