Individual
MRS. MARTHA GRAZUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, CASAC
Contact information
Practice address
165 MAIN ST STE A, CORTLAND, NY 13045-3049
(607) 753-0234
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3049
(607) 753-0234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
274118-1
NY
Other
Enumeration date
10/20/2010
Last updated
07/03/2018
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