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1679721468
STEPHANIE JACKMAN
ROCHESTER, NY
NPI
1679721468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NY 078781)
Enumeration Date
2008-09-04
Last Update Date
2011-10-28
Business Address
STEPHANIE JACKMAN LMSW
360 WELLINGTON AVE
ROCHESTER, NY 14619-1210
Phone number: 585-802-7004
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Mailing Address
STEPHANIE JACKMAN LMSW
18 DEBBIE LN
BROCKPORT, NY 14420-9400
Phone number: 585-802-7004
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