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Individual

BEATRICE M OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
102 KENNEDY LN, SYRACUSE, NY 13212-2441
(315) 703-3484
Mailing address
102 KENNEDY LN, SYRACUSE, NY 13212-2441
(315) 452-1869

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001530
NY

Other

Enumeration date
07/20/2020
Last updated
07/20/2020
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