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1396118246
CHARMAINE LYISCOTT
BROOKLYN, NY
NPI
1396118246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 18003661)
Enumeration Date
2015-10-31
Last Update Date
2015-10-31
Business Address
-- CHARMAINE LYISCOTT
484 JEFFERSON AVE
BROOKLYN, NY 11221-1006
Phone number: 917-561-7902
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Mailing Address
-- CHARMAINE LYISCOTT
484 JEFFERSON AVE
BROOKLYN, NY 11221-1006
Phone number: 917-561-7902
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