LISA A PRUDENTI

BOHEMIA, NY
NPI1457697856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  005340-1)
Enumeration Date2012-12-13
Last Update Date2012-12-13
Business Address
-- LISA A PRUDENTI LMHC
30 FLOYDS RUN
BOHEMIA, NY 11716-2212
Phone number: 631-567-7760
Mailing Address
-- LISA A PRUDENTI LMHC
PO BOX 916
MANORVILLE, NY 11949-0916
Phone number: 631-921-9241
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