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Individual

JENNIFER LEIGH FRARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1 WELLNESS WAY, SUITE B, E BLOOMFIELD, NY 14469
(585) 295-3519
Mailing address
5701 DALTON DR, FARMINGTON, NY 14425-9327

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
82-2663413
NY

Other

Enumeration date
09/01/2017
Last updated
09/01/2017
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