Individual
ALYSSA M SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CHILDRENS WAY, POUGHKEEPSIE, NY 12601-1499
(845) 453-1420
Mailing address
10 CHILDRENS WAY, POUGHKEEPSIE, NY 12601-1499
(845) 453-1420
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009711
NY
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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