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1003096454
MEGAN ELIZABETH LISTON
ELMONT, NY
NPI
1003096454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 8160)
Enumeration Date
2007-11-13
Last Update Date
2007-11-13
Business Address
-- MEGAN ELIZABETH LISTON CASAC
40 ELMONT RD
ELMONT, NY 11003-1603
Phone number: 516-437-0440
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Mailing Address
-- MEGAN ELIZABETH LISTON CASAC
40 ELMONT RD
ELMONT, NY 11003-1603
Phone number: 516-437-0440
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