Individual
HOLLY LEBREUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7555 MAIN RD, MATTITUCK, NY 11952-1516
(631) 298-8642
Mailing address
790 PARK AVE, HUNTINGTON, NY 11743-4516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
09/05/2024
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