Individual
MARY HENOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CAS
Contact information
Practice address
23 HUSKIE LN, MALONE, NY 12953-2450
(518) 483-6420
Mailing address
23 HUSKIE LN, MALONE, NY 12953-2450
(518) 483-6420
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2343411
NY
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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