Individual
TAYLOR KRISTINE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1701 NOYES ST, UTICA, NY 13502-3857
(315) 368-6594
Mailing address
118 BRAND ST, ILION, NY 13357-4900
(315) 219-7087
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
107583
NY
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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