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1891045670
JACLYN MARGARET RUSSELL
WANTAGH, NY
NPI
1891045670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 083040-1)
Enumeration Date
2012-09-19
Last Update Date
2023-02-28
Business Address
Mrs. JACLYN MARGARET RUSSELL LCSW
1400 WANTAGH AVE STE 208
WANTAGH, NY 11793-2210
Phone number: 516-209-8533
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Mailing Address
Mrs. JACLYN MARGARET RUSSELL LCSW
1400 WANTAGH AVE STE 208
WANTAGH, NY 11793-2210
Phone number: 516-209-8533
Copy
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