Individual
CIARA MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 NEW YORK RD, PLATTSBURGH, NY 12903-3981
(518) 561-3803
Mailing address
PO BOX 93, CHAZY, NY 12921-0093
(518) 651-5505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023707-1
NY
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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