Individual
DEBRA L HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
459 PHILO RD, ELMIRA, NY 14903-1051
(607) 795-2241
Mailing address
117 HOLIDAY DR, HORSEHEADS, NY 14845-1611
(607) 795-1683
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
R047434-1
NY
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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