Individual
MRS. ALANA WICKWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., SWDB-2
Contact information
Practice address
14379 ROUTE 9W, RAVENA, NY 12143
(518) 756-3124
Mailing address
1226 STATE ROUTE 143, COEYMANS HOLLOW, NY 12046-2102
(518) 756-9443
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1911359
NY
Other
Enumeration date
08/29/2013
Last updated
01/24/2015
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