CARISSA BLASIUS

STONY BROOK, NY
NPI1013457233
Professional NameCARISSA B MILLETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  0700391)
Enumeration Date2017-03-07
Last Update Date2017-03-07
Business Address
-- CARISSA BLASIUS LCSW
139 MAIN ST # C
STONY BROOK, NY 11790-1944
Phone number: 631-875-5979
Mailing Address
-- CARISSA BLASIUS LCSW
PO BOX 1303
STONY BROOK, NY 11790-0908
Phone number:
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