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1174060149
LISA SACKET
NEW HYDE PARK, NY
NPI
1174060149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.0008018)
Enumeration Date
2017-01-27
Last Update Date
2017-01-27
Business Address
-- LISA SACKET LISW
1981 MARCUS AVE SUITE C114
NEW HYDE PARK, NY 11042-2060
Phone number: 516-987-4200
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Mailing Address
-- LISA SACKET LISW
1981 MARCUS AVE SUITE C114
NEW HYDE PARK, NY 11042-2060
Phone number:
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