TANYA JENNIFER FEVOLA

COMMACK, NY
NPI1407007586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R0714781)
Enumeration Date2008-10-07
Last Update Date2008-10-07
Business Address
Mrs. TANYA JENNIFER FEVOLA LCSW-R
283 COMMACK RD SUITE #100
COMMACK, NY 11725-6021
Phone number: 631-462-1032
Mailing Address
Mrs. TANYA JENNIFER FEVOLA LCSW-R
283 COMMACK RD SUITE #100
COMMACK, NY 11725-6021
Phone number: 631-462-1032