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CORDELIA ELIZABETH DALLAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBA

Contact information

Practice address
7767 OSWEGO RD, LIVERPOOL, NY 13090-2322
(315) 992-1929
Mailing address
37 PARK ST, PULASKI, NY 13142-4420
(913) 313-5407

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004676-01
NY

Other

Enumeration date
11/18/2024
Last updated
12/23/2025
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