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1659658581
LISA MICHELLE VENTIMIGLIA
HOLBROOK, NY
NPI
1659658581
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Former Name
LISA MICHELLE TUMBARELLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 083774)
Enumeration Date
2011-11-06
Last Update Date
2017-01-27
Business Address
-- LISA MICHELLE VENTIMIGLIA LCSW
850 MAIN ST
HOLBROOK, NY 11741-1604
Phone number: 631-737-7406
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Mailing Address
-- LISA MICHELLE VENTIMIGLIA LCSW
850 MAIN ST
HOLBROOK, NY 11741-1604
Phone number: 631-737-7406
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