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1649753138
LISA RENN
MELVILLE, NY
NPI
1649753138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
LISA RENN LMSW
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
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Mailing Address
LISA RENN LMSW
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
Copy
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