Individual
DAKOTA R DOANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
650 STATE STREET, WATERTOWN, NY 13601
(518) 483-3261
Mailing address
1106 COFFEEN ST APT B4, WATERTOWN, NY 13601-4808
(518) 366-4303
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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