LISA MOLLUSO

BELLPORT, NY
NPI1669543732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R072825)
Enumeration Date2006-11-12
Last Update Date2012-07-13
Business Address
Ms. LISA MOLLUSO
16 STATION RD SUITE 7
BELLPORT, NY 11713-2449
Phone number: 631-338-5617
Mailing Address
Ms. LISA MOLLUSO
PO BOX 131
PATCHOGUE, NY 11772-0131
Phone number: 631-338-5617