Individual
MRS. CATHERINE MARKLEY MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6624 SOUTH ST, RED CREEK, NY 13143-9510
(315) 754-2100
Mailing address
PO BOX 190, RED CREEK, NY 13143-0190
(315) 754-2100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004508-1
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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