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1104691625
JENNA KAYLEENE LEESON
VALLEY STREAM, NY
NPI
1104691625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 120786)
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
Ms. JENNA KAYLEENE LEESON
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580-6223
Phone number: 516-569-6600
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Mailing Address
Ms. JENNA KAYLEENE LEESON
776 6TH AVE APT 10E
NEW YORK, NY 10001-0165
Phone number: 424-303-2590
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