Individual
ANGELA TERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 HERMART LN, RONKONKOMA, NY 11779-1900
(631) 241-5372
Mailing address
12 HERMART LN, RONKONKOMA, NY 11779-1900
(631) 241-5372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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