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Organization
LISA C. DELUCA, LCSW, PLLC
Active
Organization
LISA C. DELUCA, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA C. DELUCA LCSW (OWNER)
(631) 477-6077
Entity
Organization
Contact information
Practice address
54895 MAIN ROAD, SOUTHOLD, NY 11971-4895
(631) 903-4177
Mailing address
175 THE CROSSWAYS, EAST MARION, NY 11939-1007
(631) 477-6077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0824701
NY
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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