Organization
EARLY START SERVICES LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY ALICE DAVIS LCSWR (PRESIDENT)
(845) 877-0103
Entity
Organization
Contact information
Practice address
83 HALLS CORNERS RD, DOVER PLAINS, NY 12522-5200
(845) 877-0103
(845) 877-0103
Mailing address
83 HALLS CORNERS RD, DOVER PLAINS, NY 12522-5200
(845) 877-0103
(845) 877-0103
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
R0340491
NY
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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