Lise Donnelly, LMSW

NPI #1427420264 in Ronkonkoma, New York

Provider Information

NPI Number: 1427420264
Entity Type: Individual
Name: Lise Donnelly, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 20, 2015
Last Updated: Oct 20, 2015

Practice Location

Address: 485 PECONIC ST
City: Ronkonkoma
State: New York
ZIP Code: 11779-6919
Phone: (516) 818-3810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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