Individual
KATHLEEN SUSAN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED
Contact information
Practice address
5820 HERITAGE LANDING DR, EAST SYRACUSE, NY 13057-9378
(315) 701-1107
(315) 342-7664
Mailing address
904 MILTON AVE, APARTMENT 2, SYRACUSE, NY 13204-1620
(315) 806-6106
(315) 342-7664
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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