Individual
AMELIA M DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT, TROY, NY 12180
(518) 271-3300
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
034725
NY
Other
Enumeration date
08/25/2006
Last updated
05/11/2021
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