JILL NATALIE WALLACE

EAST NORTHPORT, NY
NPI1902985724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2006-11-03
Last Update Date2024-07-19
Business Address
Ms. JILL NATALIE WALLACE LCSW
15 HEATH LN
EAST NORTHPORT, NY 11731-1912
Phone number: 516-459-0312
Mailing Address
Ms. JILL NATALIE WALLACE LCSW
15 HEATH LN
EAST NORTHPORT, NY 11731-1912
Phone number: 516-459-0312