Individual
STEPHANIE ANNE LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 CENTER ST, ELLENVILLE, NY 12428-1315
(845) 647-3349
Mailing address
13 ELM ST, ELLENVILLE, NY 12428-2205
(914) 645-2311
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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