Most Relevant Information
Provider Data
| NPI Number: | 1003246281 |
| Provider Name: | JENNIFER NOLA R-LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | R053343-1 |
Most Important Dates
| Enumeration Date: | 11/25/2013 |
| Last Updated: | 11/25/2013 |
Provider Practice Location
40 FROST MILL RD
MILL NECK
NY
117651102
Practice Location Phone/Fax
| Phone: | 5169224100 |
| Fax: |
Provider Mailing Location
40 FROST MILL RD
MILL NECK
NY
117651102
Provider Mailing Phone/Fax
| Phone: | 5169224100 |
| Fax: |