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1174879662
CARISSA MARIE SWILLEY
EAST SYRACUSE, NY
NPI
1174879662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2012-08-02
Last Update Date
2012-08-02
Business Address
Mrs. CARISSA MARIE SWILLEY
5820 HERITAGE LANDING DR
EAST SYRACUSE, NY 13057-9378
Phone number: 315-701-1107
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Mailing Address
Mrs. CARISSA MARIE SWILLEY
105 HATHERLEIGH RD
SYRACUSE, NY 13209-2232
Phone number: 315-430-7223
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