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STACI VAUGHN CAS

School >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1548747546

Individual Registrant:
 STACI  VAUGHN CAS
Gender: F
Sole Proprietor

Location and contact information for practice:
33828 CARLTON DR  CAPE VINCENT, NY 13618-4101 US
Tel: 315-393-4951  Fax: --

Contact information for business:
33828 CARLTON DR  CAPE VINCENT, NY 13618-4101 US
Tel: 315-393-4951  Fax: --

Registration Information:
NPI: 1548747546
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
School

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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