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1770884637
LEZLIE NAMASTE
ITHACA, NY
NPI
1770884637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R085125)
Enumeration Date
2010-11-09
Last Update Date
2018-08-10
Business Address
LEZLIE NAMASTE LCSW-R
416 N TIOGA ST
ITHACA, NY 14850
Phone number: 607-592-1062
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Mailing Address
LEZLIE NAMASTE LCSW-R
313 N TIOGA ST
ITHACA, NY 14850-4264
Phone number: 607-592-1062
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