Individual
KELLY MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2382 WEST RD, ONEIDA, NY 13421-4320
(315) 829-8762
(315) 829-8770
Mailing address
414 ULSTER ST, SYRACUSE, NY 13204-1918
(315) 829-8762
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
P54934
NY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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