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Individual

JESSICA ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
90 HENRY ST, INWOOD, NY 11096-2335
(718) 327-3401
Mailing address
380 35TH ST, LINDENHURST, NY 11757-2644

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/03/2014
Last updated
10/03/2014
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