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Individual

JACQUELINE MARIE LOMANDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
267 E MAIN ST STE B22, SMITHTOWN, NY 11787-2851
(631) 987-3031
Mailing address
PO BOX 658, SAINT JAMES, NY 11780-0658
(631) 987-3031

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005954
NY

Other

Enumeration date
06/16/2015
Last updated
06/16/2015
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