LOURDES J. LICEA

NEW YORK, NY
NPI1619274750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  003470)
Enumeration Date2011-02-25
Last Update Date2011-02-25
Business Address
Ms. LOURDES J. LICEA LMHC
715 W 179TH ST
NEW YORK, NY 10033-6020
Phone number: 212-795-4226
Mailing Address
Ms. LOURDES J. LICEA LMHC
715 W 179TH ST
NEW YORK, NY 10033-6020
Phone number:
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