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Individual

MRS. MARY SORRENDINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.H.C, C.A.S.A.C

Contact information

Practice address
109 S WARREN ST, SUITE 508 STATE TOWER BUILDING, SYRACUSE, NY 13202-1798
(315) 475-1771
(315) 475-4601
Mailing address
109 S WARREN ST, SUITE 508 STATE TOWER BUILDING, SYRACUSE, NY 13202-1798
(315) 475-1771
(315) 475-4601

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18873
NY
101YM0800X
Mental Health Counselor
003190-1
NY

Other

Enumeration date
03/12/2009
Last updated
03/12/2009
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