Individual
ALISON HICKS VAN TASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
384 FARM RD, COPAKE, NY 12516-1614
(518) 755-0207
Mailing address
384 FARM RD, COPAKE, NY 12516-1614
(518) 755-0207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097056-01
NY
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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