COURTNEY TAYLOR FORMOSA

ALBANY, NY
NPI1720805005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-09-26
Last Update Date2024-09-26
Business Address
COURTNEY TAYLOR FORMOSA
427 NEW KARNER RD
ALBANY, NY 12205-3852
Phone number: 518-948-2340
Mailing Address
COURTNEY TAYLOR FORMOSA
23 SARATOGA AVE
WATERFORD, NY 12188-2631
Phone number: 518-588-2378
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