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Organization
KIMBERLY A. HOSTIG LICENSED CLINICAL SOCIAL WORKER PLLC
Active
Organization
KIMBERLY A. HOSTIG LICENSED CLINICAL SOCIAL WORKER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A. HOSTIG LCSW-R (SOLE OWNER)
(518) 222-6752
Entity
Organization
Contact information
Practice address
8 STANLEY CIR STE 11, LATHAM, NY 12110
(518) 222-6752
(518) 786-0917
Mailing address
22 HAMPTON CIR, MECHANICVILLE, NY 12118-3436
(518) 423-6831
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R075574-1
NY
Other
Enumeration date
06/08/2018
Last updated
07/24/2018
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