Individual
JACQUELINE MAYLE-TOWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4184 RT 9W, WEST CAMP, NY 12490
(845) 247-0941
Mailing address
1125 OLD FORD RD, NEW PALTZ, NY 12561-2646
(845) 419-2070
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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