Individual
JENNIFER DAWN MCCLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
95 CHURCH ST STE 210, WHITE PLAINS, NY 10601-1515
(845) 513-6805
Mailing address
10 DEKALB AVE APT 202, WHITE PLAINS, NY 10605-6449
(347) 886-3141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028479
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028479
LICENCE NUMBER
NY
Enumeration date
10/11/2021
Last updated
10/11/2021
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