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Individual

ALYSSA PRAWL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2621 GENESEE ST, UTICA, NY 13501-6216
(315) 558-3724
Mailing address
117 BONNIE DR, SYRACUSE, NY 13209-1208
(315) 558-3724

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
111909
NY
104100000X
Social Worker
Primary
111909
NY

Other

Enumeration date
09/06/2021
Last updated
09/06/2021
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