Peter Randolph Terrance, BSW

NPI #1235776634 in Malone, New York

Provider Information

NPI Number: 1235776634
Entity Type: Individual
Name: Peter Randolph Terrance, BSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: BSW
Enumeration Date: Dec 4, 2019
Last Updated: Dec 4, 2019

Practice Location

Address: 31 6TH ST
City: Malone
State: New York
ZIP Code: 12953-1246
Phone: (315) 296-8344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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