Individual
CASEY LYNN DEDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5 COLLEGE AVE, NEW PALTZ, NY 12561-2106
(845) 706-0229
Mailing address
53 OAK HILL RD, MIDDLETOWN, NY 10941-1365
(845) 800-1563
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117784-01
NY
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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