Individual
MRS. JESSICA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT CRC
Contact information
Practice address
3297 BAILEY AVE, BUFFALO, NY 14215-1139
(716) 833-3622
Mailing address
314 WITMER RD, NORTH TONAWANDA, NY 14120-1643
(716) 692-6389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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