Individual
MRS. YVETTE J EDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
7550 S STATE ST, LOWVILLE, NY 13367-1533
(315) 376-5450
Mailing address
8618 ERIE CANAL RD, CROGHAN, NY 13327-4017
(315) 222-3114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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