Jasmyne Jaedyn Liepke

NPI #1558009548 in Cicero, New York

Provider Information

NPI Number: 1558009548
Entity Type: Individual
Name: Jasmyne Jaedyn Liepke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 20, 2022
Last Updated: May 20, 2022

Practice Location

Address: 8074 THURSTON DR
City: Cicero
State: New York
ZIP Code: 13039-9062
Phone: (315) 706-4937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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