Individual
STEFANIE WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
449 MEDINA ST, APARTMENT 2B, STATEN ISLAND, NY 10306-4421
(917) 837-7363
Mailing address
449 MEDINA ST, APARTMENT 2B, STATEN ISLAND, NY 10306-4421
(917) 837-7363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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