Individual
MS. LORI SUZANNE BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
3226 WILKINS RD, ITHACA, NY 14850-9568
(607) 274-5032
(607) 275-5673
Mailing address
3226 WILKINS RD, ITHACA, NY 14850-9568
(607) 274-5032
(607) 275-5673
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000587
NY
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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