Individual
AMELIA L. DERUSHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
25 HAKES AVE, HORNELL, NY 14843-1616
(607) 382-2702
Mailing address
25 HAKES AVE, HORNELL, NY 14843-1616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114537
NY
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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