Individual
ALFRED P. L. WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2927
(518) 697-8010
Mailing address
303 ALBANY AVE APT 3, KINGSTON, NY 12401-2554
(207) 651-8545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114051
NY
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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