JILL N WALLACE LCSW PLLC

NPI: 1356760037 · Organization · Active

Primary Specialty

Social Worker

Practice Location

15 HEATH LN
EAST NORTHPORT, NY 11731-1912 Map ↗
Phone: 516-459-0312

All Specialties & Licenses

  • Social Worker Primary (license: R045832, NY)

NPI Registration

Enumerated: 2014-04-10

Last CMS Update: 2024-07-19