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Individual

MS. JANE MARGARET HUNT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
973 E STATE ST, ITHACA, NY 14850-6158
(607) 227-5129
Mailing address
973 E STATE ST, ITHACA, NY 14850-6158
(607) 227-5129

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0705311
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02876768
NY
Enumeration date
10/12/2006
Last updated
12/05/2008
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