Individual
JENELLE ANNTONETTE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 PAERDEGAT 12TH ST, BROOKLYN, NY 11236-4119
(347) 221-8476
Mailing address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(718) 769-2698
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1152511171
NY
Other
Enumeration date
07/28/2017
Last updated
03/17/2018
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