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Individual

IAN D. LITHGOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
40 EXCHANGE PL FL 3, NEW YORK, NY 10005-2784
(716) 912-5004
Mailing address
128 ATLANTIC AVE, LONG BEACH, NY 11561-3805
(716) 912-5004

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000804
NY
106H00000X
Marriage & Family Therapist

Other

Enumeration date
06/02/2010
Last updated
05/11/2018
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