(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003290305
Provider Name: LISA ANN LATAILLE LMSW
Entity Type: Individual
Taxonomy Code: 104100000X
Specialty: Social Worker
License Number: 047476-1
Most Important Dates
Enumeration Date: 07/16/2015
Last Updated: 07/16/2015
Provider Practice Location
18 COURT ST
VALLEY STREAM
NY
115803202
Practice Location Phone/Fax
Phone: 5168373368
Fax:
Provider Mailing Location
18 COURT ST
VALLEY STREAM
NY
115803202
Provider Mailing Phone/Fax
Phone: 5168373368
Fax: