Individual
JESSICA KOZDEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 GRANDVIEW AVE, ELMIRA, NY 14905-1936
(607) 259-2784
Mailing address
107 GRANDVIEW AVE, ELMIRA, NY 14905-1936
(607) 259-2784
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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