Organization
LIBERTY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARA L SHIPMAN (THERAPIST)
(315) 472-4471
Entity
Organization
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
(315) 472-1759
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
(315) 472-1759
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P76297
NY
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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