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Individual

DANIELLE MARIE AUSTIN BANFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CLC

Contact information

Practice address
3040 GARRETT RD, ITHACA, NY 14850-9508
(607) 351-6409
Mailing address
3040 GARRETT RD, ITHACA, NY 14850-9508
(607) 351-6409

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
341432
NY
101Y00000X
Counselor

Other

Enumeration date
10/18/2024
Last updated
10/18/2024
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