Individual
STACY HAUGLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125B PARKVIEW ST S, NEWBURGH, NY 12550-2339
(845) 649-6634
Mailing address
125B PARKVIEW ST S, NEWBURGH, NY 12550-2339
(845) 649-6634
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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