TARA MARIE NYSTROM

CORAM, NY
NPI1235565722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2013-09-17
Last Update Date2013-09-17
Business Address
MRS. TARA MARIE NYSTROM MS, MHC
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8302
Mailing Address
MRS. TARA MARIE NYSTROM MS, MHC
3 N 2ND ST
HOLBROOK, NY 11741-1102
Phone number: 631-648-8312
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