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Individual

JACQUI MARIE HERRINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.ED

Contact information

Practice address
36 PRESFORD DR, SHIRLEY, NY 11967-3620
(631) 772-2737
Mailing address
36 PRESFORD DR, SHIRLEY, NY 11967-3620
(631) 772-2737

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1255462
NY

Other

Enumeration date
01/24/2008
Last updated
09/18/2012
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