Individual
KATELYN NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 HOUNSFIELD ST, SACKETS HARBOR, NY 13685-9728
(907) 388-9464
Mailing address
103 HOUNSFIELD ST, SACKETS HARBOR, NY 13685-9728
(907) 388-9464
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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