Individual
JACQUELYN KARAH WERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CAS
Contact information
Practice address
1224 ELLSWORTH BLVD, MALTA, NY 12020-3302
(518) 222-2684
Mailing address
1224 ELLSWORTH BLVD, MALTA, NY 12020-3302
(518) 222-2684
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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