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Individual

MS. MYSTERY JOANNA LUSK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, MS, SAS

Contact information

Practice address
2 BRENTWOOD PL, MONROE, NY 10950-3104
(914) 837-4574
Mailing address
2 BRENTWOOD PL, MONROE, NY 10950-3104
(914) 837-4574

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002706-1
NY
103K00000X
Behavior Analyst
Primary
NY

Other

Enumeration date
01/28/2009
Last updated
01/28/2009
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