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Individual

EFRAIN A AGAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
324 UNIVERSITY AVE, SYRACUSE, NY 13210-1811
(315) 472-4471
(315) 472-1759
Mailing address
402 ANSONIA CT, CAMILLUS, NY 13031-3002
(315) 729-3245

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
05/29/2007
Last updated
07/08/2007
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