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1588810675
LISA D DEKEON
LACKAWANNA, NY
NPI
1588810675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 013328)
Enumeration Date
2008-08-08
Last Update Date
2008-08-08
Business Address
Dr. LISA D DEKEON Ph.D.
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-828-9586
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Mailing Address
Dr. LISA D DEKEON Ph.D.
5 CRANE RD
GLENWOOD, NY 14069-9618
Phone number: 716-828-9586
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