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1982067542
KRISTY LANZA
EAST ISLIP, NY
NPI
1982067542
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Former Name
KRISTY LEE NICHOLSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 083540)
Enumeration Date
2016-03-31
Last Update Date
2016-05-12
Business Address
Ms. KRISTY LANZA LCSW
16 WENSLEY LN
EAST ISLIP, NY 11730-3415
Phone number: 631-834-6929
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Mailing Address
Ms. KRISTY LANZA LCSW
16 WENSLEY LN
EAST ISLIP, NY 11730-3415
Phone number: 631-834-6929
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