Individual
KARA DUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 MAPLE ST, MASSENA, NY 13662-1017
(315) 769-8441
Mailing address
23 MAPLE ST, MASSENA, NY 13662-1017
(315) 769-8441
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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