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1780050807
CARLA JACK
FOREST HILLS, NY
NPI
1780050807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-08-12
Last Update Date
2022-10-03
Business Address
CARLA JACK MHC
10326 68TH RD
FOREST HILLS, NY 11375-3200
Phone number: 718-261-3330
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Mailing Address
CARLA JACK MHC
14021 COOMBS ST
SPRINGFIELD GARDENS, NY 11413-2675
Phone number: 929-385-6765
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