Individual
JACQUELYN CRESCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
958 LONGBROOK DR, WADSWORTH, OH 44281-8814
(330) 361-0723
Mailing address
958 LONGBROOK DR, WADSWORTH, OH 44281-8814
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3021993
OH
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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