Individual
AMY BARACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6 HEALTHY WAY, ELLENVILLE, NY 12428-5612
(845) 647-4500
Mailing address
6 HEALTHY WAY, ELLENVILLE, NY 12428-5612
(845) 647-4500
(845) 340-4053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088996
NY
Other
Enumeration date
01/05/2016
Last updated
12/19/2019
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