Individual
ALYCE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2809 BRIGHTON PL, UTICA, NY 13501-6517
(315) 717-1687
Mailing address
2809 BRIGHTON PL, UTICA, NY 13501-6517
(315) 717-1687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
092181
NY
Other
Enumeration date
02/06/2018
Last updated
10/24/2023
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