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1306906870
MICHELLE LISETTE MULLIGAN
WANTAGH, NY
NPI
1306906870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 074518)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Mrs. MICHELLE LISETTE MULLIGAN LCSW
3375 PARK AVE 3003-1
WANTAGH, NY 11793-3733
Phone number: 516-826-4317
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Mailing Address
Mrs. MICHELLE LISETTE MULLIGAN LCSW
5 BRIER HOLLOW CT
MANORVILLE, NY 11949-3233
Phone number: 631-874-0338
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