MRS. Rae Louise Light, MSED

NPI #1043573330 in Little Valley, New York

Provider Information

NPI Number
1043573330
Entity Type
Individual
Name
MRS. Rae Louise Light, MSED
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Credential
MSED
Enumeration Date
Jun 21, 2012
Last Updated
Jun 25, 2013

Practice Location

Address
4249 E BUCKTOOTH RUN RD
ZIP Code
14755-9753
Phone
(716) 945-3981

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency
Case Management
Specialist

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