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1487361234
LEGACY LEAGUE FAMILY WELLNESS LLC
JAMAICA, NY
NPI
1487361234
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Entity Type
Organization
Authorized Contact
TWILA EVANSON
Executive Director
917-923-5341
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
LEGACY LEAGUE FAMILY WELLNESS LLC
14215 110TH AVE
JAMAICA, NY 11435-5624
Phone number: 917-923-5341
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Mailing Address
LEGACY LEAGUE FAMILY WELLNESS LLC
14215 110TH AVE
JAMAICA, NY 11435-5624
Phone number: 917-923-5341
Copy
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