Individual
MRS. JOAN M HARRADINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 ALLEN ST, BROCKPORT, NY 14420-2228
(585) 637-1832
Mailing address
40 ALLEN ST, BROCKPORT, NY 14420-2228
(585) 637-1832
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
276153-1
NY
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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