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Individual

LYSANDRA VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
45 DELAWARE AVE, ALBANY, NY 12202-1301
(518) 475-6496
Mailing address
960 BIRCHWOOD LN, NISKAYUNA, NY 12309-3116
(518) 836-4442

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
0965041
NY

Other

Enumeration date
04/18/2019
Last updated
04/18/2019
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