Organization
JUST KIDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M GENNOY CCC-SLP (CO-OWNER)
(518) 584-2168
Entity
Organization
Contact information
Practice address
33 MAGNOLIA DR, SARATOGA SPRINGS, NY 12866-5380
(518) 584-2168
Mailing address
33 MAGNOLIA DR, SARATOGA SPRINGS, NY 12866-5380
(518) 584-2168
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
011819-1
NY
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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