Individual
MISS AUDREY IRENE TYSZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
44 OSWEGO ST, BALDWINSVILLE, NY 13027-2471
(315) 396-4241
Mailing address
44 OSWEGO ST, BALDWINSVILLE, NY 13027-2471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
12/06/2021
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