Individual
CORRINNE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
232 BEACH 127TH ST, BELLE HARBOR, NY 11694-1729
(718) 813-2824
Mailing address
232 BEACH 127TH ST, BELLE HARBOR, NY 11694-1729
(718) 813-2824
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
094779-1
NY
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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