Individual
JESSICA MCNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 BROADWAY ST, BUFFALO, NY 14212-1862
(716) 422-2002
Mailing address
1500 BROADWAY ST, BUFFALO, NY 14212-1862
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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