Sasha D Fassett Licensed Clinical Social Worker PC

NPI #1033457163 in Endicott, New York

Provider Information

NPI Number: 1033457163
Entity Type: Organization
Organization Name: Sasha D Fassett Licensed Clinical Social Worker PC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 24, 2013
Last Updated: Jan 24, 2013

Practice Location

Address: 217 JEFFERSON AVE
City: Endicott
State: New York
ZIP Code: 13760-5244
Phone: (607) 237-5411

Authorized Official

Name: SASHA D FASSETT, LCSW-R
Title: LICENSED CLINICAL SOCIAL WORKER
Phone: (607) 237-5411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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