Individual
MRS. TARA ROSE PIENKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5711 W GENESEE ST, CAMILLUS, NY 13031-1274
(315) 288-3705
Mailing address
5711 W GENESEE ST, CAMILLUS, NY 13031-1274
(315) 288-3705
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002286
NY
222Q00000X
Developmental Therapist
—
NY
Other
Enumeration date
05/31/2012
Last updated
08/12/2025
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