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Individual
MISS LISA RESNICK
Active
Individual
MISS LISA RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, EDM, LMHC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004508-1
NY
101YP2500X
Professional Counselor
Primary
PC007335
PA
Other
Enumeration date
03/02/2011
Last updated
01/23/2014
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