Individual
MS. PATRICIA ANNE UBLACKERP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TSHH/SP ED
Contact information
Practice address
24 SUNSET BLVD, COXSACKIE, NY 12051
(518) 731-1725
Mailing address
24 SUNSET BLVD, COXSACKIE, NY 12051
(518) 731-1725
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
866272981
NY
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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