Individual
JODI LYNN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 ADAMS ST, KINGSTON, NY 12401-6012
(845) 324-1209
Mailing address
2 S FARRELLY ST, KINGSTON, NY 12401-3050
(845) 217-7844
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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