Individual
MRS. CORA LEE CLAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
305 HARTSON ST, SYRACUSE, NY 13204-3409
(315) 416-9042
Mailing address
11 EAST LIBERTY ST, SAINT JOHNSVILLE, NY 13452
(315) 269-5191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P99037
NY
164W00000X
Licensed Practical Nurse
Primary
299858-1
NY
Other
Enumeration date
02/04/2010
Last updated
01/20/2017
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