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Individual

THERESA L LERRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 BRANDYINE DRIVE, DEER PARK, NY 11729
(800) 456-3457
Mailing address
1 BRANDYINE DRIVE, DEER PARK, NY 11729

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
54678678
NY

Other

Enumeration date
06/07/2012
Last updated
12/17/2012
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