MR. Jerry Frank Maiello JR., LCSW
NPI #1124053897 in Ballston Lake, New York
Provider Information
- NPI Number
- 1124053897
- Entity Type
- Individual
- Name
- MR. Jerry Frank Maiello JR., LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 331 USHERS ROAD
- Address 2
- NORTHWAY 10 PROFESSIONAL PARK
- City
- Ballston Lake
- State
- New York
- ZIP Code
- 12019
- Phone
- (518) 371-1122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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