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Individual

MRS. MARILYN LENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC

Contact information

Practice address
464-10 WM FLOYD PKWAY, SHIRLEY, NY 11967
(631) 399-9217
(631) 399-9225
Mailing address
464-10 WM FLOYD PKWAY, SHIRLEY, NY 11967
(631) 399-9217
(631) 399-9225

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10505
NY

Other

Enumeration date
01/14/2009
Last updated
01/14/2009
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