Individual
MS. WILLIS RAE MAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., NCSP
Contact information
Practice address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-7171
Mailing address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-7171
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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