Individual
PRISCILLA SHROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 FREDERICK DOUGLASS ST, ROCHESTER, NY 14608-2467
(585) 546-4670
Mailing address
407 FREDERICK DOUGLASS ST, ROCHESTER, NY 14608-2467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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