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1396772562
LISA DEFEIS
BAY SHORE, NY
NPI
1396772562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R051808-1)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
Ms. LISA DEFEIS LCSW
1555 SUNRISE HWY SUITE #4
BAY SHORE, NY 11706-6027
Phone number: 631-666-1615
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Mailing Address
Ms. LISA DEFEIS LCSW
1555 SUNRISE HWY SUITE #4
BAY SHORE, NY 11706-6027
Phone number: 631-666-1615
Copy
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