Individual
LORNA BOYER CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
109 WHITE HERON CIRCLE, FAYETTEVILLE, NY 13066
(315) 256-2968
Mailing address
4500 PEWTER LANE, THE SYNERGY CENTER, FAYETTEVILLE, NY 13066
(315) 256-2968
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000461
NY
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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