Individual
KRISTEN ALYCE MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 BRANDY BROOK LN, ROCHESTER, NY 14612-3064
(585) 313-8254
Mailing address
140 BRANDY BROOK LN, ROCHESTER, NY 14612-3064
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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