TARA LEE PETROCHKO

NEW YORK, NY
NPI1003422049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  096265)
Enumeration Date2020-09-16
Last Update Date2023-10-10
Business Address
TARA LEE PETROCHKO LCSW
322 8TH AVE
NEW YORK, NY 10001-8001
Phone number: 212-283-2830
Mailing Address
TARA LEE PETROCHKO LCSW
138 E 112TH ST APT 2D
NEW YORK, NY 10029-2670
Phone number: 646-281-1679
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