LISA SPRAGUE

BOHEMIA, NY
NPI1114453305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  88407)
Enumeration Date2017-05-07
Last Update Date2025-01-12
Business Address
LISA SPRAGUE LCSW
793 SYCAMORE AVE
BOHEMIA, NY 11716-3514
Phone number: 631-291-5101
Mailing Address
LISA SPRAGUE LCSW
PO BOX 214
GREAT RIVER, NY 11739-0214
Phone number: 631-316-3828