Individual
MRS. DAWN LEE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS DEGREE
Contact information
Practice address
15 4TH ST, MALONE, NY 12953-1340
(518) 481-8160
Mailing address
15 4TH ST, MALONE, NY 12953-1340
(518) 481-8160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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