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Individual

JONATHAN STOCKFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED. M, MA

Contact information

Practice address
356 SAINT JOHNS PL, APARTMENT 1D, BROOKLYN, NY 11238-5343
(917) 324-4917
Mailing address
356 SAINT JOHNS PL, APARTMENT 1D, BROOKLYN, NY 11238-5343
(917) 324-4917

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
NY

Other

Enumeration date
07/27/2016
Last updated
07/27/2016
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