Individual
MS. CAROL ANTHONY SIRACUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
552 JEFFERSON CT, GUILDERLAND, NY 12084-9544
(518) 339-5743
Mailing address
552 JEFFERSON CT, GUILDERLAND, NY 12084-9544
(518) 339-5743
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
R040705-1
NY
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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