Organization
LASALLE SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HAYLEY YETTRU LMSW (SOCIAL WORKER)
(518) 242-4731
Entity
Organization
Contact information
Practice address
391 WESTERN AVE, ALBANY, NY 12203-1401
(518) 242-4731
(518) 242-4747
Mailing address
391 WESTERN AVE, ALBANY, NY 12203-1401
(518) 242-4731
(518) 242-4747
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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