Individual
AUDREY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
173 LAKE HILL RD, BURNT HILLS, NY 12027-9405
(518) 399-9141
Mailing address
27 COUNTRY FAIR LN, GLENVILLE, NY 12302-3711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00528-1
NY
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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