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1790958254
LISA GAIL PHILLIPS-SULLIVAN
LONG BEACH, NY
NPI
1790958254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 000018)
Enumeration Date
2008-04-04
Last Update Date
2008-04-04
Business Address
-- LISA GAIL PHILLIPS-SULLIVAN Art Therapist
630 SHORE RD #417
LONG BEACH, NY 11561-4677
Phone number: 516-319-5993
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Mailing Address
-- LISA GAIL PHILLIPS-SULLIVAN Art Therapist
630 SHORE RD #417
LONG BEACH, NY 11561-4677
Phone number: 516-319-5993
Copy
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