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Individual

JACQUELINE MAURO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, NCSP

Contact information

Practice address
17 DUVALL DR, HAMPTON BAYS, NY 11946-3038
(631) 875-8044
Mailing address
17 DUVALL DR, HAMPTON BAYS, NY 11946-3038
(631) 875-8044

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
NY

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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