Individual
LESA PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 WYONA ST, 24, BROOKLYN, NY 11207-2543
(917) 593-0356
Mailing address
110 WYONA ST, 24, BROOKLYN, NY 11207-2543
(917) 593-0356
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
081705-1
NY
Other
Enumeration date
02/21/2016
Last updated
02/21/2016
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