Individual
MS. MARY F DELORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC #1403
Contact information
Practice address
16 1ST ST, TROY, NY 12180-3802
(518) 272-3918
(518) 272-6391
Mailing address
16 FIRST STREET, TROY, NY 12180
(518) 272-3918
(518) 272-6391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC #1403
NY
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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