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Individual
MS. LISA ANN AGRONT
Active
Individual
MS. LISA ANN AGRONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
074900-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326572546
MEDICAID MEDICARE
NY
05
—
1326572546
—
NY
Enumeration date
04/13/2017
Last updated
01/23/2019
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