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JILL N. WALLACE, LCSW PLLC

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Company Details

Name: JILL N. WALLACE, LCSW PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 Mar 2014 (11 years ago)
Entity Number: 4549922
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: 51 KENDRICK LANE, DIX HILLS, NY, United States, 11746

Contact Details

Phone +1 631-549-0226

Phone +1 516-459-0321

Phone +1 516-459-0312

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 51 KENDRICK LANE, DIX HILLS, NY, United States, 11746

National Provider Identifier

NPI Number:
1356760037
Certification Date:
2024-07-19

Authorized Person:

Name:
MS. JILL N WALLACE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
104100000X - Social Worker
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
140325000124 2014-03-25 ARTICLES OF ORGANIZATION 2014-03-25

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State