Individual
CARLY MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 STATE FAIR BLVD STE 2, SYRACUSE, NY 13209-1312
(585) 867-0054
Mailing address
8777 DRUMLIN HEIGHTS DR, BALDWINSVILLE, NY 13027-1460
(315) 335-6169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
124854-01
NY
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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