Individual
JAIDA IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
294 W MERRICK RD, FREEPORT, NY 11520-3374
(631) 440-1148
Mailing address
14411 168TH ST, JAMAICA, NY 11434-4814
(347) 744-0599
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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