Individual
ELIZABETH JAGODZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E AND WEST RD, WEST SENECA, NY 14224-3602
(716) 677-7097
Mailing address
130 VALLEY VIEW DR, ELMA, NY 14059-9261
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
317066
NY
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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