Individual
ELSIE V JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8866 MYRTLE AVE, LITTLE WONDERS, INC., GLENDALE, NY 11385-7857
(718) 850-0040
(718) 850-4441
Mailing address
88-66 MYRTLE AVENUE, LITTLE WONDERS, INC., GLENDALE, NY 11385
(718) 850-0040
(718) 850-4441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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