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1386348480
LISA FOX
RIVERHEAD, NY
NPI
1386348480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 118582)
Enumeration Date
2023-03-30
Last Update Date
2023-03-30
Business Address
LISA FOX LMSW
400 W MAIN ST
RIVERHEAD, NY 11901-2813
Phone number: 631-369-0104
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Mailing Address
LISA FOX LMSW
477 THRIFT ST
RONKONKOMA, NY 11779-6236
Phone number: 631-871-1668
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