NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1538294699 |   |   |   | NORTH COUNTRY TRANSITIONAL LIVING SERVICES, INC | 482 CITY CENTER DR | WATERTOWN | NY | 136012365 |
1225798010 | ALLEN | RYAN | DALE |   | 482 BLACK RIVER PKWY | WATERTOWN | NY | 136012416 |
1760542963 | BAKER | JANE | E |   | PO BOX 91 | WATERTOWN | NY | 136010091 |
1548715691 | CEAN | JESSICA | FAYE |   | 482 BLACK RIVER PKWY | WATERTOWN | NY | 136012416 |
1942730023 | DAVIS | YVONNE | LORELLE |   | 482 BLACK RIVER PKWY | WATERTOWN | NY | 136012416 |
1568931293 | DICKINSON | LEON | LANSING |   | 919 BOYD ST | WATERTOWN | NY | 136013522 |
1801315833 | HICKS | REBECCA |   |   | 482 BLACK RIVER PKWY | WATERTOWN | NY | 136012416 |
1851556161 | HICKS | RODGER |   |   | PO BOX 91 | WATERTOWN | NY | 136010091 |
1710247713 | HUMPHREY | MATTHEW | J. |   | PO BOX 91 | WATERTOWN | NY | 13601 |
1972054997 | MILLARD | KATHY | MOORE |   | 7550 S STATE ST | LOWVILLE | NY | 133671574 |
1609824960 | PETRANCHUK | BOBBI |   |   | PO BOX 91 | WATERTOWN | NY | 136010091 |
1992353437 | WELDON | ASHLEE | ANNE |   | 482 BLACK RIVER PKWY | WATERTOWN | NY | 136012416 |
1609225259 | WELLS | MICHELLE |   |   | 482 BLACK RIVER PKWY | WATERTOWN | NY | 136012416 |