Individual
ELIZABETH HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1879 W GENESEE STREET RD, AUBURN, NY 13021-9430
(315) 253-0361
(315) 255-3859
Mailing address
1879 W GENESEE STREET RD, AUBURN, NY 13021-9430
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
074115
NY
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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