Individual
JENNIFER DAWN VASATURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 924-0008
Mailing address
PO BOX 12, MIDDLE ISLAND, NY 11953-0012
(631) 924-0008
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
070228
NY
Other
Enumeration date
08/27/2020
Last updated
08/16/2024
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