Individual
ALYSSA FOUNTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3043 US-4, HUDSON FALLS, NY 12839
(518) 747-8243
Mailing address
16 1ST ST, HUDSON FALLS, NY 12839-1516
(518) 307-7002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117457-01
NY
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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