JUSTIN MICHAEL TAYLOR

LAKE RONKONKOMA, NY
NPI1992455398
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  104733-01)
Enumeration Date2022-03-28
Last Update Date2026-01-02
Business Address
JUSTIN MICHAEL TAYLOR Licensed MSW
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779-3193
Phone number: 631-471-5666
Mailing Address
JUSTIN MICHAEL TAYLOR Licensed MSW
153 LAKE SHORE RD
LAKE RONKONKOMA, NY 11779-3193
Phone number: 631-471-5666
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