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Organization
REVERSING FALLS LLC
Active
Organization
REVERSING FALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY TALIAFERO (CEO AND MANAGER)
(845) 794-3492
Entity
Organization
Contact information
Practice address
1 FAIRCHILD PL, MONTICELLO, NY 12701-2005
(845) 794-3492
(845) 794-3494
Mailing address
1 FAIRCHILD PL, MONTICELLO, NY 12701-2005
(845) 794-3492
(845) 794-3494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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