Provider Information for 1962704452
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SHERRY ESCUDERO LMHC
Sex: Female
NPI: 1962704452
Last Updated: 2024-06-23
Certification Date: 2024-06-23
Certification Date: 2024-06-23
Details
| Name | Value | ||||||||
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| NPI | 1962704452 | ||||||||
| Enumeration Date | 2010-12-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 132 WINSLOW ST WATERTOWN, NY 13601-3712 United States Phone: 315-486-0015 | Fax: | ||||||||
| Primary Practice Address | 132 WINSLOW ST WATERTOWN, NY 13601-3712 United States Phone: 315-486-0015 | Fax: | ||||||||
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