Individual
MS. LISA MARIE FILOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 HIGHLAND TER, NEWBURGH, NY 12550-1338
(845) 742-8366
Mailing address
5 HIGHLAND TER, NEWBURGH, NY 12550-1338
(845) 742-8366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R073487-1
NY
1041S0200X
School Social Worker
Primary
073487
NY
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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