Individual
DR. AGNES ALECIA SPROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
211 OSBORN AVE, MAMARONECK, NY 10543-3809
(914) 498-4220
Mailing address
211 OSBORN AVE, MAMARONECK, NY 10543-3809
(914) 498-4220
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010335
NY
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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