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1821424417
LISA ANN PUCCIARELLI
CORAM, NY
NPI
1821424417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-09-16
Last Update Date
2013-09-16
Business Address
Mrs. LISA ANN PUCCIARELLI BS
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8302
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Mailing Address
Mrs. LISA ANN PUCCIARELLI BS
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8302
Copy
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