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1104265164
LILA AGNES COLEBURN
NEW YORK, NY
NPI
1104265164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 08542)
Enumeration Date
2013-06-22
Last Update Date
2013-06-22
Business Address
Dr. LILA AGNES COLEBURN PhD
98 RIVERSIDE DR #1C
NEW YORK, NY 10024-5323
Phone number: 212-580-2547
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Mailing Address
Dr. LILA AGNES COLEBURN PhD
395 RIVERSIDE DR #3C
NEW YORK, NY 10025-1859
Phone number: 212-580-2547
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