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Individual

MRS. GOLDIE M JURAREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSE.

Contact information

Practice address
61 LAUREL PARK ROAD, APT H5, FALLSBURY, NY 12733
(845) 423-8970
(845) 434-5696
Mailing address
61 LAUREL PARK ROAD, APT H5, FALLSBURY, NY 12733
(845) 423-8970

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
217528150
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ET881535
NY
Enumeration date
06/04/2013
Last updated
06/04/2013
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