Individual
MRS. ALISA BETH GUMAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
6 TOBACCO LN STE B, RED HOOK, NY 12571-1744
(845) 901-4128
Mailing address
6 TOBACCO LN STE B, RED HOOK, NY 12571-1744
(845) 901-4128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080530
NY
1041S0200X
School Social Worker
473141101
NY
Other
Enumeration date
01/04/2011
Last updated
06/18/2024
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