Individual
JESSICA GAWORECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
8219 MARKET PL, MANLIUS, NY 13104-9821
(315) 720-3296
Mailing address
8528 E GENESEE ST, FAYETTEVILLE, NY 13066-9649
(315) 720-3296
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
R-DMT-2359
—
Other
Enumeration date
05/13/2019
Last updated
04/27/2024
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