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1114439502
JEANNETTE TAVERAS
JAMAICA, NY
NPI
1114439502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
103TF0200X Psychologist, Forensic
Enumeration Date
2017-10-25
Last Update Date
2017-10-25
Business Address
Ms. JEANNETTE TAVERAS
9114 MERRICK BLVD FL 6
JAMAICA, NY 11432-5247
Phone number: 718-808-5605
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Mailing Address
Ms. JEANNETTE TAVERAS
9411 34TH RD
JACKSON HEIGHTS, NY 11372-6036
Phone number: 718-808-5605
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