Individual
SHANNON ANTOINETTE OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(585) 410-3370
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
003035
NY
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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