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1841474988
TYRA DENINE GONZALEZ
GARDEN CITY, NY
NPI
1841474988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY r056804-1)
Enumeration Date
2007-12-26
Last Update Date
2007-12-26
Business Address
Mrs. TYRA DENINE GONZALEZ LCSW
506 STEWART AVE EPILEPSY FOUNDATION OF LI
GARDEN CITY, NY 11530-4706
Phone number: 516-739-7733
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Mailing Address
Mrs. TYRA DENINE GONZALEZ LCSW
99 CALIFORNIA AVE
BAY SHORE, NY 11706-4547
Phone number: 516-739-7733
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