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Individual
LISSY J ESCOBAR
Active
Individual
LISSY J ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125417-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125417-01
NYSED
NY
Enumeration date
09/14/2023
Last updated
12/05/2025
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