Individual
JENNIFER WYNNE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
329 VINE ST, FAIRPORT HARBOR, OH 44077-5741
(440) 354-5400
Mailing address
329 VINE ST, FAIRPORT HARBOR, OH 44077-5741
(440) 354-5400
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
OH
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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