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Jennifer Deroller, M.S., ATR-BC, LCAT

Art Therapist in Rochester, NY. Individual provider (NPI-1).

NPI number1265713119
StatusActive
Last updated in NPPESSep 6, 2011

Details

NPI
1265713119
Entity type
Individual (NPI-1)
Name
Jennifer Deroller
Credential
M.S., ATR-BC, LCAT
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 6, 2011
Last updated
Sep 6, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
221700000X Art Therapist001349NYYes

Practice location

175 Humboldt St
Rochester, NY 14610-1059

Phone 315-253-5383

Mailing address

175 Humboldt St
Rochester, NY 14610-1059

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