Individual
STEPHANIE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED.
Contact information
Practice address
75 GALLIS HILL RD, KINGSTON, NY 12401-7505
(845) 336-8603
Mailing address
75 GALLIS HILL RD, KINGSTON, NY 12401-7505
(845) 336-8603
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
84149981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84149981
SPECIAL EDUCATION TEACHER LICENCE #
NY
Enumeration date
04/26/2012
Last updated
04/26/2012
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