TARA MARY RUSSIAN

ELMHURST, NY
NPI1720144728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  P059328)
Enumeration Date2006-12-28
Last Update Date2007-07-08
Business Address
MISS TARA MARY RUSSIAN LMSW
80TH ST & 41ST AVE
ELMHURST, NY 11373-1329
Phone number: 718-334-3900
Mailing Address
MISS TARA MARY RUSSIAN LMSW
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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