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Individual

ANGELA MASTRANTUONO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 485-9700
Mailing address
954 MAIN ST, FISHKILL, NY 12524-2247
(845) 489-1491

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
059251-1
NY
1041C0700X
Clinical Social Worker
Primary
075919
NY

Other

Enumeration date
09/25/2006
Last updated
07/16/2010
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