Individual
KAITLYN BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87 E MAIN ST, WASHINGTONVILLE, NY 10992-1279
(845) 678-3562
Mailing address
87 E MAIN ST, WASHINGTONVILLE, NY 10992-1279
(845) 678-3562
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
015061
NY
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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