Individual
KAELIN MARIE SOULIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 WEST ROAD, MOIRA, NY 12957-0025
(315) 514-5687
Mailing address
64 WEST ROAD, MOIRA, NY 12957-0025
(315) 514-5687
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
722171869
NY
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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