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1447512751
TATIANA CHISOLM
STATEN ISLAND, NY
NPI
1447512751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: NJ C35077320057832)
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
-- TATIANA CHISOLM
1000 SOUTH AVE
STATEN ISLAND, NY 10314
Phone number: 718-477-0961
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Mailing Address
-- TATIANA CHISOLM
9 RUES LN
EAST BRUNSWICK, NJ 08816-3859
Phone number: 732-619-9355
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