Eastern Door Licensed Clinical Social Work, PC

NPI #1528500337 in Rensselaer, New York

Provider Information

NPI Number
1528500337
Entity Type
Organization
Organization Name
Eastern Door Licensed Clinical Social Work, PC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Nov 10, 2016
Last Updated
Mar 26, 2025

Practice Location

Address
620 WASHINGTON AVE
ZIP Code
12144-1300
Phone
(518) 252-7073

Authorized Official

Name
KELLYANNE RUGENSTEIN, LCSW, PHD
Title
OWNER
Phone
(518) 252-7073

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