Individual
CASEY PHIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1149 SULLIVAN ST, ELMIRA, NY 14901-1670
(607) 734-2006
Mailing address
1149 SULLIVAN ST, ELMIRA, NY 14901-1670
(607) 734-2006
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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