DOROTHY ELLEN LYSTAD

LONG BEACH, NY
NPI1023163110
Former NameDOROTHY ELLEN SEGAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  R029041)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
MS. DOROTHY ELLEN LYSTAD
260 EDWARDS BLVD
LONG BEACH, NY 11561
Phone number: 516-432-7905
Mailing Address
MS. DOROTHY ELLEN LYSTAD
260 EDWARDS BLVD
LONG BEACH, NY 11561
Phone number: 516-432-7905
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