Individual
MS. JENNIFER KING FARNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
371 LOCUST AVE, OAKDALE, NY 11769
(631) 244-5950
(631) 244-7360
Mailing address
371 LOCUST AVE, OAKDALE, NY 11769-1650
(631) 244-5950
(631) 244-7360
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
050481
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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