Individual
STEPHANIE SHUSTACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
131 N MIDLAND AVE, NYACK, NY 10960-1911
(845) 348-3518
(845) 358-9224
Mailing address
131 N MIDLAND AVE, NYACK, NY 10960-1911
(845) 348-3518
(845) 358-9224
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
078753-1
NY
Other
Enumeration date
11/26/2011
Last updated
11/26/2011
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