Individual
BLAIR RICHELLE ROSE PERRUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4 FULLER ST # 1315, ALEXANDRIA BAY, NY 13607-1316
(315) 482-1277
Mailing address
45425 OLNEY RD, REDWOOD, NY 13679-5116
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128985
NY
Other
Enumeration date
07/07/2025
Last updated
11/19/2025
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