Tara Elizabeth Buentello, LCSW

NPI #1841812880 in Ridgewood, New York

Provider Information

NPI Number: 1841812880
Entity Type: Individual
Name: Tara Elizabeth Buentello, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 13, 2020
Last Updated: Aug 27, 2021

Practice Location

Address: 1025 SENECA AVE
City: Ridgewood
State: New York
ZIP Code: 11385-5800
Phone: (646) 980-0539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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