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1588933808
JENNIFER IVY ROTH PRUSSIN
YONKERS, NY
NPI
1588933808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 084368)
Enumeration Date
2011-12-15
Last Update Date
2011-12-15
Business Address
Ms. JENNIFER IVY ROTH PRUSSIN LMSW
487 S BROADWAY STE 220 C/O WJCS
YONKERS, NY 10705-3269
Phone number: 914-423-4433
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Mailing Address
Ms. JENNIFER IVY ROTH PRUSSIN LMSW
131 WARBURTON AVE FL 3 C/O WJCS
YONKERS, NY 10701-2721
Phone number: 914-231-2590
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