Individual
DENISE WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 AVERYVILLE LN, LAKE PLACID, NY 12946-3015
(518) 523-3244
Mailing address
365 AVERYVILLE LN, LAKE PLACID, NY 12946-3015
(518) 523-3244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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