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1003290305
LISA ANN LATAILLE
VALLEY STREAM, NY
NPI
1003290305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 047476-1)
Enumeration Date
2015-07-16
Last Update Date
2015-07-16
Business Address
Mrs. LISA ANN LATAILLE LMSW
18 COURT ST
VALLEY STREAM, NY 11580-3202
Phone number: 516-837-3368
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Mailing Address
Mrs. LISA ANN LATAILLE LMSW
18 COURT ST
VALLEY STREAM, NY 11580-3202
Phone number: 516-837-3368
Copy
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