MS. Lisa Molluso

NPI #1669543732 in Bellport, New York

Provider Information

NPI Number
1669543732
Entity Type
Individual
Name
MS. Lisa Molluso
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Nov 12, 2006
Last Updated
Jul 13, 2012

Practice Location

Address
16 STATION RD
Address 2
SUITE 7
ZIP Code
11713-2449
Phone
(631) 338-5617

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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