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1235370701
LISETTE BLANCO
NEW YORK, NY
NPI
1235370701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 050781)
Enumeration Date
2009-03-13
Last Update Date
2009-03-13
Business Address
Ms. LISETTE BLANCO L.M.S.W.
622 W 168TH ST VC-205 AIM CLINIC
NEW YORK, NY 10032-3720
Phone number: 212-305-3078
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Mailing Address
Ms. LISETTE BLANCO L.M.S.W.
14220 84TH DR 5M
BRIARWOOD, NY 11435-2152
Phone number: 718-657-2950
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