Individual
MS. LUANNE M MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
8417 DIXON RD, CAMDEN, NY 13316-3528
(315) 480-6111
Mailing address
8417 DIXON RD, CAMDEN, NY 13316-3528
(315) 480-6111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R07054101
NY
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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