Individual
AILEEN WALSH
Active
Individual
AILEEN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWR
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
035553-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03715271
—
NY
Enumeration date
12/01/2008
Last updated
07/03/2020
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