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Individual

MS. ADELE G FISHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R28007
NY
104100000X
Social Worker
R28007NYSTATE
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31989
MHN
NY
01
7401879
GHI
NY
01
NA536
EBCBS
NY
01
P619798
OXFORD
NY
Enumeration date
12/26/2006
Last updated
03/28/2012
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