Individual
MARY SITGRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PARROTT RD, WEST NYACK, NY 10994-1025
(201) 694-1825
Mailing address
65 PARROTT RD, WEST NYACK, NY 10994-1025
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
007118-1
NY
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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