Individual
ABIGAIL STULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16719 144TH DR, JAMAICA, NY 11434-4801
(347) 495-7069
Mailing address
16719 144TH DR, JAMAICA, NY 11434-4801
(347) 495-7069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111602
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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