LISAMARIE PROTHEROE

COMMACK, NY
NPI1912233024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R052308-1)
Enumeration Date2009-10-23
Last Update Date2009-10-23
Business Address
Mrs. LISAMARIE PROTHEROE LCSW-R
14 FLEETWOOD RD
COMMACK, NY 11725-1757
Phone number: 631-269-7134
Mailing Address
Mrs. LISAMARIE PROTHEROE LCSW-R
14 FLEETWOOD RD
COMMACK, NY 11725-1757
Phone number: 631-269-7134
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