DEBBIE MARIE KENNISTON

BALLSTON LAKE, NY
NPI1063784775
Former NameDEBBIE MARIE SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  006136-1)
Enumeration Date2012-01-27
Last Update Date2012-01-27
Business Address
Mrs. DEBBIE MARIE KENNISTON
100 CHANGO DR
BALLSTON LAKE, NY 12019-9207
Phone number: 518-881-0520
Mailing Address
Mrs. DEBBIE MARIE KENNISTON
100 CHANGO DR
BALLSTON LAKE, NY 12019-9207
Phone number: 518-881-0520