Individual
MISS JESSICA CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
57 N EVERGREEN DR, SELDEN, NY 11784-2011
(631) 901-8768
Mailing address
57 N EVERGREEN DR, SELDEN, NY 11784-2011
(631) 901-8768
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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