AUTUMN TALLEY

JACKSON HEIGHTS, NY
NPI1144795790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  T02960696961931)
Enumeration Date2018-10-10
Last Update Date2018-10-10
Business Address
AUTUMN TALLEY
9114 37TH AVE
JACKSON HEIGHTS, NY 11372-7920
Phone number: 718-779-1600
Mailing Address
AUTUMN TALLEY
9114 37TH AVE
JACKSON HEIGHTS, NY 11372-7920
Phone number: 718-779-1600
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