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Organization
LISA DIMITRI LCSW PLLC
Active
Organization
LISA DIMITRI LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DIMITRI (OWNER)
(631) 678-7170
Entity
Organization
Contact information
Practice address
755 MAIN ST STE 3, OAKDALE, NY 11769-1801
(631) 678-7170
(631) 224-8940
Mailing address
116 BILTMORE AVE, OAKDALE, NY 11769-1157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
12/08/2023
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