Individual
JERALEE JOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1316
(315) 482-2511
Mailing address
106 HUNTINGTON ST, BLACK RIVER, NY 13612-2132
(315) 408-1837
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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