Individual
KAILEY ROSE KAWOLICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-P
Contact information
Practice address
101 HAMILTON AVE, AUBURN, NY 13021-5028
(315) 253-5383
Mailing address
101 HAMILTON AVE, AUBURN, NY 13021-5028
(315) 253-5383
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P14240
NY
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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