Individual
ALICIA MARIE STOUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
713 HARRISON ST, SYRACUSE, NY 13210-2305
(315) 247-4221
Mailing address
713 HARRISON ST, SYRACUSE, NY 13210-2305
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
11/04/2024
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