Diane Wickswat Ducharme, SPECIAL EDUCATOR

NPI #1104188721 in Whitestone, New York

Provider Information

NPI Number
1104188721
Entity Type
Individual
Name
Diane Wickswat Ducharme, SPECIAL EDUCATOR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
SPECIAL EDUCATOR
Enumeration Date
Jun 10, 2012
Last Updated
Jun 10, 2012

Practice Location

Address
14562 4TH AVE
ZIP Code
11357-1111
Phone
(347) 204-2006

Specialties & Taxonomy Codes

Specialty
Specialist

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