Individual
ELIZABETH MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 CRESTWOOD BLVD, POUGHKEEPSIE, NY 12603-1215
(845) 849-0908
Mailing address
57 CRESTWOOD BLVD, POUGHKEEPSIE, NY 12603-1215
(845) 849-0908
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
759095
—
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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