Individual
JESSICA TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 364, GARDINER, NY 12525-0364
(845) 633-8806
Mailing address
2 WASHINGTON AVE # B, SAUGERTIES, NY 12477-1522
(845) 663-0368
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
09/03/2024
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