Individual
ALYSSA VIDEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
642 VAN EMBURGH AVE, TOWNSHIP OF WASHINGTON, NJ 07676-4113
(201) 666-2550
Mailing address
33 EASTON ST, STONY POINT, NY 10980-2701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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