THEODOR GERVAIS

HEMPSTEAD, NY
NPI1508603457
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SL06933000)
Enumeration Date2024-07-09
Last Update Date2024-07-09
Business Address
THEODOR GERVAIS
303 MAIN ST APT 134
HEMPSTEAD, NY 11550-1442
Phone number: 347-863-1298
Mailing Address
THEODOR GERVAIS
303 MAIN ST APT 134
HEMPSTEAD, NY 11550-1442
Phone number: