JENNIE LEE FARACI

MASSAPEQUA, NY
NPI1952587891
Former NameJENNIE LEE NICHOLAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  083727)
Enumeration Date2008-01-10
Last Update Date2016-05-02
Business Address
Mrs. JENNIE LEE FARACI LCSW
20 HICKSVILLE RD SUITE 5
MASSAPEQUA, NY 11758-5819
Phone number: 631-807-7937
Mailing Address
Mrs. JENNIE LEE FARACI LCSW
2386 MAPLE AVE
SEAFORD, NY 11783-2933
Phone number: 631-807-7937