Individual
GABRIELA L TACIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 266-6029
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 948-2425
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
120940
NY
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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