ALLYSA J WACHHOLDER

PORT JEFFERSON STATION, NY
NPI1497787188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  074310)
Enumeration Date2006-07-06
Last Update Date2007-07-08
Business Address
-- ALLYSA J WACHHOLDER LCSW
36 CLYMER ST
PORT JEFFERSON STATION, NY 11776-3913
Phone number: 631-828-6024
Mailing Address
-- ALLYSA J WACHHOLDER LCSW
36 CLYMER ST
PORT JEFFERSON STATION, NY 11776-3913
Phone number: 631-828-6024
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