JESSICA THOMASSEN

CORAM, NY
NPI1790111359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence:   091748-01)
Additional Taxonomies104100000X Social Worker
Enumeration Date2013-09-16
Last Update Date2021-10-19
Business Address
JESSICA THOMASSEN
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-338-8171
Mailing Address
JESSICA THOMASSEN
3600 NY-112
CORAM, NY 11727
Phone number: 631-920-8630