Individual
MRS. MARY KAY HAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4921 STATE HIGHWAY 56, COLTON, NY 13625
(315) 262-2100
Mailing address
101 STATE HIGHWAY 72, POTSDAM, NY 13676-3477
(315) 265-9033
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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