Individual
MS. ALICIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1787 ROUTE 17M, GOSHEN, NY 10924-2566
(845) 418-2101
(678) 604-6935
Mailing address
269 NORTH ST, MIDDLETOWN, NY 10940-3726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096505
NY
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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