| Walk With Grace | |
|
435 S Main St Temporary Address N Syracuse NY 13212-2811 | |
| (315) 278-4523 | |
| Not Available |
| Full Name | Walk With Grace |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 435 S Main St, N Syracuse, New York |
| Authorized Official Name and Position | Grace Puchalski (OWNER) |
| Authorized Official Contact | 3152784523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walk With Grace Po Box 880 Central Square NY 13036-0880 Ph: (313) 278-4523 | Walk With Grace 435 S Main St Temporary Address N Syracuse NY 13212-2811 Ph: (315) 278-4523 |
| NPI Number | 1336519172 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336519172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R046862 (New York) | Primary |
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