Individual
KATHERINE L LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CAS
Contact information
Practice address
12 MOHAWK ST, TUPPER LAKE, NY 12986-1028
(518) 359-3351
Mailing address
12 MOHAWK ST, TUPPER LAKE, NY 12986-1028
(518) 359-3351
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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