Organization
LAURA TICE, LCSW R
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TICE LCSW R (OWNER)
(518) 573-8743
Entity
Organization
Contact information
Practice address
270 RIVER ST STE 202B, TROY, NY 12180-0806
(518) 573-8743
(518) 244-5292
Mailing address
270 RIVER ST STE 202B, TROY, NY 12180-0806
(518) 573-8743
(518) 244-5292
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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