Organization
CHENANGO FORKS CENTRAL SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN DIXON (ASSOCIATE SUPERINTENDENT)
(607) 648-7580
Entity
Organization
Contact information
Practice address
1 GORDON DR, BINGHAMTON, NY 13901-5620
(607) 648-7580
Mailing address
1 GORDON DR, BINGHAMTON, NY 13901-5620
(607) 648-7580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005238-1
NY
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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