Individual
MS. JENNIFER LEANNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 STATE STREET, WATERTOWN, NY 13601-1251
(315) 755-1251
Mailing address
PO BOX 608, MALONE, NY 12953-0608
(315) 755-1251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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