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1457586570
STACEY CARYN RISE
HUNTINGTON STATION, NY
NPI
1457586570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 061331-1)
Enumeration Date
2009-05-19
Last Update Date
2009-05-19
Business Address
-- STACEY CARYN RISE LMSW
71 NORWICH ST
HUNTINGTON STATION, NY 11746-8423
Phone number: 631-271-6567
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Mailing Address
-- STACEY CARYN RISE LMSW
71 NORWICH ST
HUNTINGTON STATION, NY 11746-8423
Phone number: 631-271-6567
Copy
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