Individual
MRS. TRACIE LYNN DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 E PARK ROW, CLINTON, NY 13323-1544
(315) 853-6090
Mailing address
35 S MAIN ST, BAINBRIDGE, NY 13733-1214
(607) 316-7547
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
476882
NY
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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