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Organization
SMALL WONDERS EARLY INTERVENTION SERVICES, INC.
Active
Organization
SMALL WONDERS EARLY INTERVENTION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS VAUGHN WASHBURN M. ED. (PRESIDENT)
(607) 798-8056
Entity
Organization
Contact information
Practice address
1364 REYNOLDS RD, JOHNSON CITY, NY 13790-4837
(607) 584-0709
(607) 770-1446
Mailing address
1364 REYNOLDS RD, JOHNSON CITY, NY 13790-4837
(607) 584-0709
(607) 770-1446
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
10/01/2008
Last updated
09/27/2010
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