Individual
HEATHER DEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617-1436
(315) 386-2189
Mailing address
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617-1436
(315) 386-2189
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
718792
NY
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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