Individual
MS. LISA RACHEL KAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
118 SPRING ST, PORT JEFFERSON, NY 11777-1817
(631) 476-0564
Mailing address
17 OPAL DR, PLAINVIEW, NY 11803-3807
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
R045288-1
NY
Other
Enumeration date
09/13/2010
Last updated
09/14/2010
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