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1760127385
LISA BLACK
WHITE PLAINS, NY
NPI
1760127385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 32421)
Enumeration Date
2022-04-28
Last Update Date
2022-04-28
Business Address
Ms. LISA BLACK CASAC-2
20 CHURCH STREET
WHITE PLAINS, NY 10601
Phone number: 914-683-8050
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Mailing Address
Ms. LISA BLACK CASAC-2
10 NORTHWIND RD
YONKERS, NY 10710-1730
Phone number: 914-707-2544
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