Individual
LYDIA MARIE OUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8387 SENECA TURNPIKE, NEW HARTFORD, NY 13413
(315) 732-3431
Mailing address
489 BARKER RD, DOLGEVILLE, NY 13329
(518) 774-0205
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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