Individual
MRS. CARRIE ANNE MULTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
713 UNION ST, HUDSON, NY 12534-3001
(518) 828-4619
(518) 828-1196
Mailing address
713 UNION ST, HUDSON, NY 12534-3001
(518) 828-4619
(518) 828-1196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
071792-1
NY
1041C0700X
Clinical Social Worker
080667
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I20140612001818
MEDICARE ENROLLMENT ID
NY
Enumeration date
12/06/2007
Last updated
04/04/2016
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