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1902231004
LIZA KATHERINE BLANK
NEW YORK, NY
NPI
1902231004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 077770-1)
Enumeration Date
2013-09-08
Last Update Date
2013-09-08
Business Address
Ms. LIZA KATHERINE BLANK LCSW
80 5TH AVE RM 903
NEW YORK, NY 10011-7611
Phone number: 212-633-9262
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Mailing Address
Ms. LIZA KATHERINE BLANK LCSW
175 OCEAN PKWY APT 3A
BROOKLYN, NY 11218-2521
Phone number: 917-992-3960
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