Individual
EMILY D BRASSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1120 ROUTE 72, SUITE 300, MOUNT LAUREL, NJ 08054-0805
(856) 372-0994
(856) 861-1364
Mailing address
9 SAWYER LN, SAUGERTIES, NY 12477-4252
(845) 417-7884
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089691-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084390-01
LMSW LICENSE
NY
01
—
089691-01
LCSW LICENSE
NY
Enumeration date
06/10/2021
Last updated
06/10/2021
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