Individual
MS. CAROLYN J THAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 E PARK ROW, CLINTON, NY 13323-1544
(315) 853-6090
Mailing address
2 E PARK ROW, CLINTON, NY 13323-1544
(315) 853-6090
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Enumeration date
01/31/2014
Last updated
07/21/2022
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