Individual
LAURA AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.R.C
Contact information
Practice address
167 POLK ST STE 240, WATERTOWN, NY 13601-2770
(315) 782-7445
Mailing address
167 POLK ST STE 240, WATERTOWN, NY 13601-2770
(315) 782-7445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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