STACEY CARYN RISE

HUNTINGTON STATION, NY
NPI1457586570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  061331-1)
Enumeration Date2009-05-19
Last Update Date2009-05-19
Business Address
-- STACEY CARYN RISE LMSW
71 NORWICH ST
HUNTINGTON STATION, NY 11746-8423
Phone number: 631-271-6567
Mailing Address
-- STACEY CARYN RISE LMSW
71 NORWICH ST
HUNTINGTON STATION, NY 11746-8423
Phone number: 631-271-6567
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