Individual
ADA SMALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
199 DUNDERBERG RD, CENTRAL VALLEY, NY 10917-3507
(845) 460-6400
(845) 460-6041
Mailing address
199 DUNDERBERG RD, CENTRAL VALLEY, NY 10917-3507
(845) 460-6400
(845) 460-6041
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
074314
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122299580
—
NY
Enumeration date
04/17/2012
Last updated
04/17/2012
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