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1184158495
TARA GILDERSLEEVE
HUNTINGTON, NY
NPI
1184158495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY r037088-1)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
Ms. TARA GILDERSLEEVE lcsw
75 PROSPECT ST
HUNTINGTON, NY 11743-3382
Phone number: 631-673-6089
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Mailing Address
Ms. TARA GILDERSLEEVE lcsw
75 PROSPECT ST
HUNTINGTON, NY 11743-3382
Phone number: 631-673-6089
Copy
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