MRS. Carissa Marie Swilley
NPI #1174879662 in East Syracuse, New York
Provider Information
- NPI Number
- 1174879662
- Entity Type
- Individual
- Name
- MRS. Carissa Marie Swilley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Aug 2, 2012
- Last Updated
- Aug 2, 2012
Practice Location
- Address
- 5820 HERITAGE LANDING DR
- City
- East Syracuse
- State
- New York
- ZIP Code
- 13057-9378
- Phone
- (315) 701-1107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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