Lorraine A Holder CASAC

NPI 1164684072 - Counselor - 101YA0400X

NPI Details
NPI 1164684072
Gender Female
Enumeration Date 07/01/2008
Last Updated 07/01/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
20 COMMUNITY LN
LIBERTY NY, 12754-2851, US
Phone (845) 292-8770
Fax (845) 292-4206
Business Location
PO BOX 34
FERNDALE NY, 12734-0034, US
Phone (845) 747-4347
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State New York
License Number 19885
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According to our database, Ms. Lorraine A Holder CASAC NPI is 1164684072, taxonomy code is 101YA0400X and license number is 19885, license state is located at New York. Lorraine A Holder CASAC physically located at 20 Community Ln, Liberty NY, 12754-2851. NPI Number Lorraine A Holder CASAC has the Individual type.

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1164684072 NPI number is provided on an as is basis without warranty of any kind. 1164684072 is maintained by the National Plan & Provider Enumeration System. The contents of Lorraine A Holder CASAC are for informational purposes only.