MS. Dorothy Ellen Lystad

NPI #1023163110 in Long Beach, New York

Provider Information

NPI Number
1023163110
Entity Type
Individual
Name
MS. Dorothy Ellen Lystad
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
260 EDWARDS BLVD
ZIP Code
11561
Phone
(516) 432-7905

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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