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1902985724
JILL NATALIE WALLACE
EAST NORTHPORT, NY
NPI
1902985724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2006-11-03
Last Update Date
2024-07-19
Business Address
Ms. JILL NATALIE WALLACE LCSW
15 HEATH LN
EAST NORTHPORT, NY 11731-1912
Phone number: 516-459-0312
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Mailing Address
Ms. JILL NATALIE WALLACE LCSW
15 HEATH LN
EAST NORTHPORT, NY 11731-1912
Phone number: 516-459-0312
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