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Individual

ALYSSA Y GUSMEROTTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
598 GALLERIA DR, JOHNSTOWN, PA 15904-8900
(814) 943-8164
Mailing address
131 MARKET ST, JOHNSTOWN, PA 15901-1628

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
CW019820
PA

Other

Enumeration date
06/22/2015
Last updated
03/23/2022
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