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Individual

ELIZABETH DRIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21 MORAHAPA RD, CENTERPORT, NY 11721-1120
(631) 827-4802
Mailing address
21 MORAHAPA RD, CENTERPORT, NY 11721-1120
(631) 827-4802

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
09/17/2013
Last updated
09/17/2013
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