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Individual

MRS. JAMIE LYNN BARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
160 WALLACE WAY, ROCHESTER, NY 14624
(585) 617-2664
Mailing address
160 WALLACE WAY, ROCHESTER, NY 14624
(585) 617-2664

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
098677
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098677
NY
Enumeration date
09/06/2017
Last updated
04/01/2019
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