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1871647131
ADAIAH TANISHA LASSALLE
BRONX, NY
NPI
1871647131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 0745121)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Mrs. ADAIAH TANISHA LASSALLE LCSW
401 E 147TH ST NEW BEGINNING COMMUNITY COUNSELING CENTER
BRONX, NY 10455
Phone number: 718-402-5250
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Mailing Address
Mrs. ADAIAH TANISHA LASSALLE LCSW
27 RED OAKS MILL RD
POUGHKEEPSIE, NY 12603
Phone number: 917-488-2218
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