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Individual

JILLIAN AGUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS ED.

Contact information

Practice address
122 E 23RD ST, NEW YORK, NY 10010-4516
(212) 677-7400
Mailing address
2440 28TH ST, APT. 4A, ASTORIA, NY 11102-1920
(516) 455-9988

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1213244
NY

Other

Enumeration date
05/10/2011
Last updated
05/11/2011
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