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Individual

DANIEL J DECLERCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
443 CURRAN RD, SHORTSVILLE, NY 14548-9333
(315) 521-4033
Mailing address
443 CURRAN RD, SHORTSVILLE, NY 14548-9333
(315) 521-4033

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005883
NY

Other

Enumeration date
09/26/2015
Last updated
03/07/2016
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