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1558444919
DOROTHY MARIE LILLY
PORT JEFFERSON, NY
NPI
1558444919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R0433701)
Enumeration Date
2006-10-21
Last Update Date
2007-07-08
Business Address
-- DOROTHY MARIE LILLY Rlcsw
14 E BROADWAY
PORT JEFFERSON, NY 11777-1400
Phone number: 631-689-1141
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Mailing Address
-- DOROTHY MARIE LILLY Rlcsw
147 SYCAMORE CIR
STONY BROOK, NY 11790-3158
Phone number: 631-689-1141
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