Individual
MISS JACQUELINE E KING-PRESANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA ED.
Contact information
Practice address
19 FOXTRAIL CT., AQUEBOGUE, NY 11931
(631) 766-6539
Mailing address
PO BOX 83, AQUEBOGUE, NY 11931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1197149
NY
Other
Enumeration date
06/11/2012
Last updated
07/17/2017
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