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Individual

MS. HEATHER ANN TEELING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
184 ELDRIDGE ST, NEW YORK, NY 10002-2992
(212) 453-4522
Mailing address
8610 34TH AVE APT 620, JACKSON HEIGHTS, NY 11372-3310
(917) 533-4163

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
079003
NY

Other

Enumeration date
10/03/2019
Last updated
10/03/2019
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