Individual
KAY ELLEN VITELLI-HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
65 PARROTT RD, WEST NYACK, NY 10994-1025
(845) 627-4700
Mailing address
65 PARROTT RD, WEST NYACK, NY 10994-1025
(845) 627-4700
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
080658
NY
Other
Enumeration date
07/21/2017
Last updated
07/21/2022
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