Individual
JENESIS NA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 MAIN ST, GOSHEN, NY 10924-2195
(347) 443-4398
Mailing address
1 SANFORD AVE, CHESTER, NY 10918-1206
(347) 443-4398
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
122960
NY
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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