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Individual

WILLIE JEANNE ROUNDDEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PEER ADVOCATE

Contact information

Practice address
360 EAST AVE STE 100, ROCHESTER, NY 14604-2699
(585) 944-5649
Mailing address
360 EAST AVE, ROCHESTER, NY 14604-2638
(585) 944-5649

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-5903
NY
175T00000X
Peer Specialist
NY

Other

Enumeration date
11/21/2022
Last updated
11/21/2022
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