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Individual
MS. TESS W WALSH
Active
Individual
MS. TESS W WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090647
NY
1041C0700X
Clinical Social Worker
101416
NY
Other
Enumeration date
08/02/2018
Last updated
12/24/2020
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