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Individual

MS. ARLA ARDIS HERRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S., M.S ,MPS

Contact information

Practice address
1402 PACIFIC ST, BROOKLYN, NY 11216-3258
(718) 778-7256
Mailing address
1402 PACIFIC ST, BROOKLYN, NY 11216-3258
(718) 778-7256

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
030468831
NY

Other

Enumeration date
06/15/2012
Last updated
06/15/2012
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