Individual
CAVANAUGH QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
383 LEEDALE ST, ALBANY, NY 12209-2125
(352) 222-7702
Mailing address
383 LEEDALE ST, ALBANY, NY 12209-2125
(352) 222-7702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
105387
NY
1041C0700X
Clinical Social Worker
Primary
093405
NY
Other
Enumeration date
10/01/2019
Last updated
12/14/2022
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