Individual
MS. LISA MARIE FRAGOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T
Contact information
Practice address
42 OAK AVE STE 4D, TUCKAHOE, NY 10707-4025
(914) 861-3343
Mailing address
42 OAK AVE # 4C, TUCKAHOE, NY 10707-4025
(914) 861-3343
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001239
NY
Other
Enumeration date
09/21/2015
Last updated
01/11/2021
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