Individual
MARY GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6820 THOMPSON RD, SYRACUSE, NY 13211-1321
(315) 433-2600
Mailing address
15 N MARVINE AVE, AUBURN, NY 13021-2915
(315) 515-9601
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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