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Individual

MS. JENNIFER TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
48 CAROL PL, STATEN ISLAND, NY 10303-2124
(718) 915-4060
(718) 983-5320
Mailing address
48 CAROL PL, STATEN ISLAND, NY 10303-2124
(718) 915-4060
(718) 983-5320

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/01/2018
Last updated
06/01/2018
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