BRENDA M VAN WIE

FORT EDWARD, NY
NPI1902059637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  006161-1)
Enumeration Date2008-10-26
Last Update Date2013-03-13
Business Address
Mrs. BRENDA M VAN WIE M.A. C.C.C.-SLP
2142 STATE ROUTE 4
FORT EDWARD, NY 12828-3409
Phone number: 518-747-0843
Mailing Address
Mrs. BRENDA M VAN WIE M.A. C.C.C.-SLP
2142 STATE ROUTE 4
FORT EDWARD, NY 12828-3409
Phone number: 518-747-0843