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1497645345
TRACY MCTIERNAN
STATEN ISLAND, NY
NPI
1497645345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2025-07-03
Last Update Date
2025-07-03
Business Address
TRACY MCTIERNAN
519 TOMPKINS AVE
STATEN ISLAND, NY 10305-1739
Phone number: 646-400-2571
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Mailing Address
TRACY MCTIERNAN
220 HEBERTON AVE
STATEN ISLAND, NY 10302-1415
Phone number: 646-400-2571
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