Individual
MRS. DAWNMARIE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
62 BIRCH STREET, LAKE GROVE, NY 11755
(631) 553-7952
Mailing address
62 BIRCH STREET, LAKE GROVE, NY 11755
(631) 553-7952
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
210765081
NY
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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