Individual
MS. JACEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 CHAPEL ST, BROOKLYN, NY 11201-1952
(718) 398-0153
(718) 623-2531
Mailing address
25 CHAPEL ST, BROOKLYN, NY 11201-1952
(718) 398-0153
(718) 623-2531
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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