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Diane Marie Moulton, MSED
Specialist in Fairport, New York
NPI 1053673061

Diane Marie Moulton is a Specialist based in East Rochester, NY. Diane Marie Moulton practices in Fairport, NY and has the professional credentials of MSED. The NPI Number for Diane Marie Moulton is 1053673061 and holds a License No. 321126901 (New York).

The current practice location address for Diane Marie Moulton is 149 N Main St, Fairport, NY and can be reached out via phone at 585-377-2230 and via fax at 585-377-2243.

Location: 149 N Main St, Fairport, NY, 14445-1823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053673061
Provider Name
Diane Marie Moulton
Credential
MSED
Provider Entity Type
Individual
Gender
Female
Address
149 N Main St, Fairport, NY, 14445-1823
Phone Number
585-377-2230
Fax Number
585-377-2243
Provider Enumeration Date
06/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
149 N Main St
City
Fairport
State
New York
Zip
14450-1434
Phone Number
585-377-2230
Fax Number
585-377-2243
person
Provider Business Mailing Address Details
Address
149 N Main St
City
Fairport
State
New York
Zip
14450-1434
Phone Number
585-377-2230
Fax Number
585-377-2243
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
321126901 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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