Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 090271-1 | NY |
NPI | 1003261157 |
---|---|
Provider Name | Mrs. Christine Daudier |
First Address | Middletown, NY 10941-2056 |
Second Address | Middletown, NY 10941-2056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2016 |
Last Update Date | 26/04/2016 |