Individual
CARRIE FRANCES JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
4242 RIDGE LEA RD STE 2, AMHERST, NY 14226-5122
(716) 819-2400
Mailing address
321 EVANS ST APT E, WILLIAMSVILLE, NY 14221-5630
(716) 566-0810
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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