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Organization
SOUTHERN TIER SPECIAL NEEDS RESOURCES LLC
Active
Organization
SOUTHERN TIER SPECIAL NEEDS RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY THERESA SCHRADER PHD (OWNER / MANAGING MEMBER)
(607) 206-4799
Entity
Organization
Contact information
Practice address
38 MARGARET ST, JOHNSON CITY, NY 13790-3016
(607) 206-4799
(607) 797-7601
Mailing address
38 MARGARET ST, JOHNSON CITY, NY 13790-3016
(607) 206-4799
(607) 797-7601
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
08/28/2013
Last updated
10/23/2013
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