Jennifer Theo Reardon LCSW

NPI 1346380276 - Social Worker - 1041C0700X

NPI Details
NPI 1346380276
Gender Female
Enumeration Date 02/08/2007
Last Updated 10/29/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
AMITYVILLE NY, 11701-2790, US
Phone (631) 264-0058
Fax (631) 264-0056
Business Location
HOLBROOK NY, 11741-1019, US
Phone (631) 741-8896
Taxonomy Code 1041C0700X
License State New York
License Number 072012
Remove 1346380276 NPI Number

According to our database, Ms. Jennifer Theo Reardon LCSW NPI is 1346380276, taxonomy code is 1041C0700X and license number is 072012, license state is located at New York. Jennifer Theo Reardon LCSW physically located at 191 Broadway, Amityville NY, 11701-2790. NPI Number Jennifer Theo Reardon LCSW has the Individual type.

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1346380276 NPI number is provided on an as is basis without warranty of any kind. 1346380276 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Theo Reardon LCSW are for informational purposes only.