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Individual

CAITLIN ELIZABETH TESSEYMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1413 STONY BROOK RD, STONY BROOK, NY 11790-2214
(631) 444-0101
Mailing address
9 WILLOWOOD LN, CORAM, NY 11727-1130
(631) 796-3471

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109231-01
NY

Other

Enumeration date
07/17/2020
Last updated
07/17/2020
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