Individual
CHERYL ANNE THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LMSW
Contact information
Practice address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6100
(607) 758-6116
Mailing address
930 ROUTE 11A, TULLY, NY 13159
(315) 696-5323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
061557-1
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
328935-1
NY
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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