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1285835371
SHANI LISA PROFETA
SMITHTOWN, NY
NPI
1285835371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY PRO25178-1)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
Ms. SHANI LISA PROFETA LCSW
70 LAWRENCE AVE
SMITHTOWN, NY 11787-3607
Phone number: 631-665-6853
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Mailing Address
Ms. SHANI LISA PROFETA LCSW
70 LAWRENCE AVE.
SMITHTOWN, NY 11787-3607
Phone number: 631-665-6853
Copy
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