JACQUELINE LUCILLE RENDA

PORT JEFFERSON, NY
NPI1700087434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R039200-1)
Additional Taxonomies1041S0200X Social Worker, School
(Licence: NY  R039200-1)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
Ms. JACQUELINE LUCILLE RENDA LCSW-R
210 EMERSON ST
PORT JEFFERSON, NY 11777-1605
Phone number: 631-331-3895
Mailing Address
Ms. JACQUELINE LUCILLE RENDA LCSW-R
210 EMERSON ST
PORT JEFFERSON, NY 11777-1605
Phone number: 631-331-3895