Individual
JEAN KESNOLD MESIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
(239) 658-3199
Mailing address
16 ATLANTIC AVE FL 2, LYNBROOK, NY 11563-3046
(516) 593-1380
(516) 977-7451
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
FL
Other
Enumeration date
08/07/2017
Last updated
03/17/2018
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