Provider Information for 1043836604
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Mrs. DEANNE CHRISTOPHER LCSW
Sex: Female
NPI: 1043836604
Last Updated: 2023-02-23
Certification Date: 2023-02-23
Certification Date: 2023-02-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043836604 | ||||||||||||
| Enumeration Date | 2020-06-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 8797 HARLOW LN BALDWINSVILLE, NY 13027-1506 United States Phone: 585-329-3358 | Fax: | ||||||||||||
| Primary Practice Address | 8797 HARLOW LN BALDWINSVILLE, NY 13027-1506 United States Phone: 585-329-3358 | Fax: | ||||||||||||
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