Individual
JACLYN BRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 ALBERTA DR, SUITE 110, AMHERST, NY 14226-1813
(716) 204-5925
Mailing address
331 ALBERTA DRIVE, SUITE 110, AMHERST, NY 14226-1813
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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