Individual
LEANNE NAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4317 E GENESEE ST, SYRACUSE, NY 13214-2114
(315) 552-0573
Mailing address
85 WATERTREE DR, EAST SYRACUSE, NY 13057-1912
(315) 416-3315
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
06-P123419-01
NY
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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