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1457739419
LISA BEAM
MONTICELLO, NY
NPI
1457739419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 19456)
Enumeration Date
2015-05-11
Last Update Date
2015-05-11
Business Address
-- LISA BEAM
396 BROADWAY
MONTICELLO, NY 12701-1157
Phone number: 845-794-8080
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Mailing Address
-- LISA BEAM
396 BROADWAY
MONTICELLO, NY 12701-1157
Phone number:
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