Individual
MRS. JENNIFER FRANCES ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7555 MAIN RD, MATTITUCK, NY 11952-1516
(631) 298-8642
Mailing address
55 HARBOR VIEW AVE, MATTITUCK, NY 11952-1117
(631) 298-8642
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P65175
NY
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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