Jackie Lee Chartrand, MS ED
NPI #1316209323 in Stony Brook, New York
Provider Information
- NPI Number
- 1316209323
- Entity Type
- Individual
- Name
- Jackie Lee Chartrand, MS ED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- MS ED
- Enumeration Date
- Jun 14, 2012
- Last Updated
- Jun 14, 2012
Practice Location
- Address
- 9 MILLSTREAM LN
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-2916
- Phone
- (516) 818-9195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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