Individual
CHRISTINA MICHELLE VANHEUVERZWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2155 NY-22B, MORRISONVILLE, NY 12962
(518) 563-8000
Mailing address
22 US OVAL STE 218, PLATTSBURGH, NY 12903-5902
(518) 563-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103501-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103501-1
NEW YORK STATE DEPARTMENT OF EDUCATION
NY
Enumeration date
11/08/2018
Last updated
11/08/2018
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