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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