Organization
AUDREY TYSZKA, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINNY RENEAU (INSURANCE CONSULTANT)
(315) 956-0935
Entity
Organization
Contact information
Practice address
44 OSWEGO ST, BALDWINSVILLE, NY 13027-2471
(315) 703-2839
Mailing address
44 OSWEGO ST, BALDWINSVILLE, NY 13027-2471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/13/2020
Last updated
12/06/2021
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