Individual
JACLYN MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CAS
Contact information
Practice address
9 CENTRAL PARK PLACE, HOMER, NY 13077
(607) 749-1250
Mailing address
453 SURREY DR, CORTLAND, NY 13045-9378
(607) 342-4378
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
965888151
NY
103TS0200X
School Psychologist
—
NY
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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