Individual
MS. ASHLEY LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
Mailing address
74 CROFTON DR, WEST SENECA, NY 14224-4427
(315) 244-5150
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112941-01
NY
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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