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1750875001
ELIZA JAQUEZ
NEW YORK, NY
NPI
1750875001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 001457)
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
ELIZA JAQUEZ
611 BROADWAY RM 611
NEW YORK, NY 10012-2650
Phone number: 917-412-4300
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Mailing Address
ELIZA JAQUEZ
68 BAY 28TH ST APT 3A
BROOKLYN, NY 11214-4026
Phone number: 917-412-4300
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