Individual
AGNES TIMBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISCENSED MASTER SOC
Contact information
Practice address
626 EATONTOWN ROAD, PORT JERVIS, NY 12771
(845) 978-7979
(845) 355-7929
Mailing address
PO BOX 330, SLATE HILL, NY 10973-0330
(845) 978-7979
(845) 355-7929
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
039221-1
NY
1041C0700X
Clinical Social Worker
Primary
089546-01
NY
Other
Enumeration date
12/05/2013
Last updated
04/01/2020
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