Individual
JILL TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 BENEDICT LN, NEW WINDSOR, NY 12553-8632
(517) 242-4468
Mailing address
9 BENEDICT LN, NEW WINDSOR, NY 12553-8632
(517) 242-4468
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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