Individual
CORINNE KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 STILLMAN LN, PLEASANTVILLE, NY 10570-3901
(914) 355-1784
Mailing address
13 STILLMAN LN, PLEASANTVILLE, NY 10570-3901
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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