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Organization
SASHA D FASSETT LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization
SASHA D FASSETT LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA D FASSETT LCSW-R (LICENSED CLINICAL SOCIAL WORKER)
(607) 237-5411
Entity
Organization
Contact information
Practice address
217 JEFFERSON AVE, ENDICOTT, NY 13760-5244
(607) 237-5411
Mailing address
217 JEFFERSON AVE, ENDICOTT, NY 13760-5244
(607) 237-5411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R069367-1
NY
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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