Individual
MRS. ALYSSA MARIE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2 FLETCHER ST, GOSHEN, NY 10924-1402
(845) 294-8301
Mailing address
10 MADELAINE TER, MIDDLETOWN, NY 10940-6703
(845) 775-4500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P81643
NY
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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