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Individual

MRS. ELIZABETH ODONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1072 ELM ST, PEEKSKILL, NY 10566-3402
(914) 325-1978
Mailing address
1072 ELM ST, PEEKSKILL, NY 10566-3402
(914) 325-1978

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251300000X
NY
Enumeration date
11/18/2012
Last updated
11/18/2012
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