Individual
MS. CARRIE MARIE TITLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
151 HYDE PKWY, PALMYRA, NY 14522-1235
(315) 597-3420
Mailing address
55 GORHAM ST, CANANDAIGUA, NY 14424-1804
(585) 396-0057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
020266-1
NY
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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