Individual
MRS. JEANNE MARIE SLICHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
53 GIBSON RD, GOSHEN, NY 10924-6709
(845) 291-0200
Mailing address
3 WINDSOR LN, CORNWALL, NY 12518-1040
(845) 237-7004
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
078532
NY
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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