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Individual

VIVIANA MARCEL RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PASTORAL COUNSELOR

Contact information

Practice address
25851 KEYSER RD, EVANS MILLS, NY 13637-3133
(315) 222-4305
Mailing address
25851 KEYSER RD, EVANS MILLS, NY 13637-3133
(315) 222-4305

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
02/09/2020
Last updated
02/09/2020
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