Individual
MISS JENNA DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827-3209
(607) 687-8611
(607) 223-7065
Mailing address
1062 STATE ROUTE 38, OWEGO, NY 13827-3209
(607) 687-8611
(607) 223-7065
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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