Individual
KASSIDY GASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
257 MAIN ST, BINGHAMTON, NY 13905-2522
(607) 729-6206
Mailing address
165 MAIN ST, STE A, CORTLAND, NY 13045-3049
(607) 753-0234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
095396
NY
Other
Enumeration date
06/21/2019
Last updated
07/31/2024
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