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Individual

LATOYA TERRINE LYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 N VILLAGE AVE STE 101, ROCKVILLE CENTRE, NY 11570-2300
(203) 559-1885
Mailing address
320 GREENGROVE AVE, UNIONDALE, NY 11553-1519
(203) 559-1885
(516) 565-0536

Taxonomy

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

Other

Enumeration date
03/30/2021
Last updated
03/30/2021
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