Individual
NICOLE CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 LAKES RD STE 3, MONROE, NY 10950-2694
(845) 827-6227
Mailing address
91 LAKES RD STE 3, MONROE, NY 10950-2694
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3031494
NY
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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