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Individual

ANN MARIE CRESCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
650 STATE ST., WATERTOWN, NY 13601-1251
(518) 353-8054
Mailing address
650 STATE ST, WATERTOWN, NY 13601-2839
(518) 353-8054

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
109119
NY
1041C0700X
Clinical Social Worker
Primary
101947
NY
106S00000X
Behavior Technician
RBT-15-01468
NY

Other

Enumeration date
01/17/2018
Last updated
02/04/2026
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