Individual
JENNIFER MACCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
700 COTTAGE BROOK LN, WEBSTER, NY 14580-8654
(585) 797-9366
(585) 486-1230
Mailing address
1 AUDUBON ST, APARTMENT 4, ROCHESTER, NY 14610-1552
(585) 469-6160
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1387895
NY
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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