Individual
ANGELA MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
595 NEW LOUDON RD STE 147, LATHAM, NY 12110-4063
(518) 250-9836
Mailing address
595 NEW LOUDON RD STE 147, LATHAM, NY 12110-4063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089804
NY
1041C0700X
Clinical Social Worker
095478-1
NY
Other
Enumeration date
12/22/2016
Last updated
12/23/2022
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