Individual
ALICIA ANN OATHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
284 MAIN ST., SUITE 320, SCHOHARIE, NY 12157
(519) 295-8336
(518) 295-8724
Mailing address
284 MAIN ST., SUITE 320, SCHOHARIE, NY 12157
(519) 295-8336
(518) 295-8724
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
214096
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00555784
—
NY
Enumeration date
01/22/2008
Last updated
01/22/2008
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