Individual
REBECCA JULIA MIGENES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
19 BOVINGTON LN, FAYETTEVILLE, NY 13066-9751
(315) 427-0305
Mailing address
19 BOVINGTON LN, FAYETTEVILLE, NY 13066-9751
(315) 427-0305
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
R037756
NY
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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