Individual
MS. CARRIE RENEE DENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 MACARTHUR DR, ROME, NY 13440-3818
(315) 271-5382
Mailing address
107 MACARTHUR DR, ROME, NY 13440-3818
(315) 271-5382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001604-1
NY
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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