Individual
KELLY ANN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
173 LAKE HILL RD, BURNT HILLS, NY 12027-9405
(518) 399-9141
Mailing address
30 AMETHYST DR, QUEENSBURY, NY 12804-9498
(518) 222-9977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089977
NY
1041S0200X
School Social Worker
Primary
079572
NY
Other
Enumeration date
10/26/2011
Last updated
03/16/2021
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