Provider Information for 1114348521
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TAMMARA L ROOD LMFT
Sex: Female
NPI: 1114348521
Last Updated: 2014-01-02
Certification Date:
Certification Date:
Details
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NPI | 1114348521 | ||||||||
Enumeration Date | 2014-01-02 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1045 JAMES ST SYRACUSE, NY 13203-2730 United States Phone: 315-472-4471 | Fax:315-472-1759 | ||||||||
Primary Practice Address | 1045 JAMES ST SYRACUSE, NY 13203-2730 United States Phone: 315-472-4471 | Fax:315-472-1759 | ||||||||
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