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1629143847
ROBIN LEE LISANTI
PORT JEFFERSON STATION, NY
NPI
1629143847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY r049505-1)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- ROBIN LEE LISANTI lcswr
4577 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776-2626
Phone number: 631-473-2855
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Mailing Address
-- ROBIN LEE LISANTI lcswr
19 GRANDVIEW BLVD
MILLER PLACE, NY 11764-1614
Phone number: 631-473-2855
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