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Individual

DR. EMILEE CARMEN VALLER GORFIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
15 CORNELL RD STE 2, LATHAM, NY 12110-1490
(518) 510-3100
Mailing address
15 CORNELL RD STE 2, LATHAM, NY 12110-1490

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
024833
NY
103TC2200X
Clinical Child & Adolescent Psychologist
P.08089
OH

Other

Enumeration date
08/10/2020
Last updated
01/27/2023
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