MS. Lisa Lynn Park, L.M.S.W.

NPI #1326269358 in Carmel, New York

Provider Information

NPI Number: 1326269358
Entity Type: Individual
Name: MS. Lisa Lynn Park, L.M.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: L.M.S.W.
Enumeration Date: May 1, 2007
Last Updated: Feb 16, 2011

Practice Location

Address: 1938 ROUTE 6
City: Carmel
State: New York
ZIP Code: 10512-2311
Phone: (845) 225-5650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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