Individual
MS. CAROLYN LISI-HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
185 FROEHLICH FARM BLVD, WOODBURY, NY 11797-2931
(516) 921-8811
(516) 921-6313
Mailing address
22 WALTER AVE, MASSAPEQUA, NY 11758-2040
(516) 579-8910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R036036-1
NY
Other
Enumeration date
03/28/2006
Last updated
04/15/2010
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