Individual
LISA MARIE CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T40813
Contact information
Practice address
24 UNION ST, MIDDLETOWN, NY 10940-4906
(845) 978-1369
Mailing address
932 ROUTE 209, CUDDEBACKVILLE, NY 12729
(845) 978-1369
(845) 978-1369
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
40813
NY
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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