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Individual

BRIGID LAVELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1757 MERRICK AVE STE 106, MERRICK, NY 11566-2717
(516) 247-6449
Mailing address
1757 MERRICK AVE STE 106, MERRICK, NY 11566-2717
(516) 247-6449

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014444
NY

Other

Enumeration date
12/12/2019
Last updated
04/20/2024
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