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Organization
EARLY START EVALUATION THERAPY AND EDUCATIONAL SERVICES PLLC
Active
Organization
EARLY START EVALUATION THERAPY AND EDUCATIONAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MARIE SLOCUM CCC/SLP (DIRECTOR)
(518) 885-5914
Entity
Organization
Contact information
Practice address
106 CONCORD DR, BALLSTON SPA, NY 12020-2304
(518) 885-5914
Mailing address
106 CONCORD DR, BALLSTON SPA, NY 12020-2304
(518) 885-5914
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
005888
NY
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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