Individual
MRS. LISA M DENUNZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
Mailing address
130 KINDLEWOOD LN, ROCHESTER, NY 14617-1629
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
363819031
NY
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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