KAITLYN TRECCAGNOLI

PORT JEFFERSON, NY
NPI1568959823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  101698)
Additional Taxonomies104100000X Social Worker
Enumeration Date2018-04-21
Last Update Date2024-01-23
Business Address
KAITLYN TRECCAGNOLI
710 MAIN ST
PORT JEFFERSON, NY 11777-2278
Phone number: 631-716-5881
Mailing Address
KAITLYN TRECCAGNOLI
2257 5TH AVE
RONKONKOMA, NY 11779-6255
Phone number: 631-848-9613