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1588134548
STACEY TANENBAUM
COMMACK, NY
NPI
1588134548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY P13716)
Enumeration Date
2018-12-03
Last Update Date
2018-12-03
Business Address
STACEY TANENBAUM
2171 JERICHO TPKE STE 335
COMMACK, NY 11725-2947
Phone number: 631-486-7788
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Mailing Address
STACEY TANENBAUM
52 ROSEANNE DR
WOODBURY, NY 11797-1904
Phone number: 310-804-1712
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