Individual
KAITLYN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 KLOTHE DR, GRAHAMSVILLE, NY 12740-5805
(845) 985-7080
(845) 985-7070
Mailing address
189 LABAUGH ROAD, HURLEYVILLE, NY 12747
(845) 866-0801
(845) 985-7070
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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