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1417569252
JESSICA LAUREN TANNENBAUM
COMMACK, NY
NPI
1417569252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 106511)
Enumeration Date
2020-08-22
Last Update Date
2023-05-07
Business Address
JESSICA LAUREN TANNENBAUM LCSW
6500 JERICHO TPKE STE 217
COMMACK, NY 11725-2907
Phone number: 516-298-5981
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Mailing Address
JESSICA LAUREN TANNENBAUM LCSW
6500 JERICHO TURNPIKE SUITE 217
COMMACK, NY 11725
Phone number: 631-543-8877
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