Individual
RACHEL FAIELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
101 MATTEAWAN RD, BEACON, NY 12508-1571
(845) 838-6900
Mailing address
30 OVERLOOK AVE, BEACON, NY 12508-2636
(845) 838-6900
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
075987
NY
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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