216 LAKEVILLE RD, GREAT NECK, 11020, NEW YORK
| Entity Name | WELLNESS SOURCE LICENSED CLINICAL SOCIAL WORK, P.C. |
| Entity Number | 5574349 |
| Status | ACTIVE |
| Incorporation Date | 20th June 2019 |
| Dos Process Address | 1 ELM ST., STE.4, GREAT NECK, 11021, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |