Individual
STACI VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
33828 CARLTON DR, CAPE VINCENT, NY 13618-4101
(315) 393-4951
Mailing address
33828 CARLTON DR, CAPE VINCENT, NY 13618-4101
(315) 393-4951
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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