JILL N WALLACE LCSW PLLC

EAST NORTHPORT, NY
NPI1356760037
Entity TypeOrganization
Authorized ContactJILL N WALLACE
Owner
516-459-0312
Organization Subpart ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  R045832)
Enumeration Date2014-04-10
Last Update Date2024-07-19
Business Address
JILL N WALLACE LCSW PLLC
15 HEATH LN
EAST NORTHPORT, NY 11731-1912
Phone number: 516-459-0312
Mailing Address
JILL N WALLACE LCSW PLLC
15 HEATH LN
EAST NORTHPORT, NY 11731-1912
Phone number: 516-459-0312
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