Individual
MRS. KELLY MARIE GUMTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1812 W STATE ST, OLEAN, NY 14760-3359
(716) 969-2212
Mailing address
1812 W STATE ST, OLEAN, NY 14760-3359
(716) 969-2212
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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