Individual
DORR DUANE PULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
5700 W GENESEE ST, SUITE 118, CAMILLUS, NY 13031-3200
(315) 488-1641
(315) 488-1655
Mailing address
2286 CLARK HOLLOW RD, LA FAYETTE, NY 13084-9566
(315) 488-1641
(315) 488-1655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18695
NY
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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