Individual
LISA ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 HOOKER AVE, POUGHKEEPSIE, NY 12603-3329
(845) 337-7046
(845) 214-0629
Mailing address
275 MAIN ST, APT 1, COLD SPRING, NY 10516-1406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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