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Individual

MS. KATHLEEN ANN SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 486-3726
(845) 486-3727
Mailing address
31 VAN VLACK RD, HOPEWELL JCT, NY 12533-5956
(845) 226-5302

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
250166-1
NY

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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