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Organization

ADIRONDACK SAMARITAN LICENSED CLINICAL SOCIAL WORK PC

Active
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Organization

ADIRONDACK SAMARITAN LICENSED CLINICAL SOCIAL WORK PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN DOUGLAS ED.D (EXECUTIVE DIRECTOR)
(518) 747-2994
Entity
Organization

Contact information

Practice address
15 BOULEVARD ST, HUDSON FALLS, NY 12839-1001
(518) 747-2994
(518) 747-2996
Mailing address
15 BOULEVARD ST, HUDSON FALLS, NY 12839-1001
(518) 747-2994
(518) 747-2996

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
NY

Other

Enumeration date
04/13/2009
Last updated
04/13/2009
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