Individual
MS. ADRIENE JILL WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8045 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2193
(718) 479-8395
(718) 465-1947
Mailing address
8045 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2193
(718) 479-8395
(718) 465-1947
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
070755
NY
Other
Enumeration date
01/14/2009
Last updated
10/08/2024
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