Individual
MISS CHADINE ANN CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1619 SAINT MARKS AVE, BROOKLYN, NY 11233-4813
(719) 495-0929
Mailing address
1619 SAINT MARKS AVE, BROOKLYN, NY 11233-4813
(719) 495-0929
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2128623
NY
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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