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1245703503
JENNIFER ANN LARSON
NORTHPORT, NY
NPI
1245703503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 105143-1)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
Mrs. JENNIFER ANN LARSON LMSW
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
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Mailing Address
Mrs. JENNIFER ANN LARSON LMSW
15 MEADOW LN
LLOYD HARBOR, NY 11743-9721
Phone number: 631-385-1535
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