Individual
CASSANDRA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
713 TROY SCHENECTADY RD STE 224, LATHAM, NY 12110-2490
(518) 213-0584
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
094157
NY
Other
Enumeration date
10/24/2019
Last updated
01/10/2023
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