Individual
MS. ALLIDA STAUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
95 OLIVER RD, BEDFORD, NY 10506-1506
(914) 815-5285
Mailing address
95 OLIVER RD, BEDFORD, NY 10506-1506
(914) 234-7628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R017377
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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