TARA JENSEN

Specialist

NPI: 1992195408Individual

Specialties, Licenses & Credentials

SpecialistPrimary

Specialist

Code: 174400000X

Early Intervention Provider Agency

Early Intervention Provider Agency

Code: 252Y00000X

Contact & Hours

Address: 7 PINE ST
LAKE RONKONKOMA, NY 11779
Phone: (631) 875-3590

Quick Facts

NPI: 1992195408
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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