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Individual

JENNIFER DEROLLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., ATR-BC, LCAT

Contact information

Practice address
175 HUMBOLDT ST, ROCHESTER, NY 14610-1059
(315) 253-5383
Mailing address
175 HUMBOLDT ST, ROCHESTER, NY 14610-1059

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001349
NY

Other

Enumeration date
09/06/2011
Last updated
09/06/2011
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