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Individual

JENNY WAMELING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19 ROBINSON RD, CLINTON, NY 13323-1418
(315) 853-6104
Mailing address
48 ARLINGTON TER, UTICA, NY 13501-6424
(315) 404-6049

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
519930041
NY

Other

Enumeration date
10/10/2014
Last updated
10/10/2014
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