Individual
MS. DELORES BARONETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
197 ROSE STREET, FREEPORT, NY 11520-4204
(516) 512-4618
Mailing address
197 ROSE ST, FREEPORT, NY 11520-4204
(516) 512-4618
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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