Samaritan Licensed Clinical Social Work, PC

NPI #1790015212 in Scotia, New York

Provider Information

NPI Number: 1790015212
Entity Type: Organization
Organization Name: Samaritan Licensed Clinical Social Work, PC
Primary Specialty: Community/Behavioral Health
Enumeration Date: Jan 6, 2010
Last Updated: Jan 6, 2010

Practice Location

Address: 220 N BALLSTON AVE
City: Scotia
State: New York
ZIP Code: 12302-2533
Phone: (518) 374-3514

Authorized Official

Name: DEBORAH LEE VALIQUETTE
Title: OFFICE MANAGER
Phone: (518) 374-3514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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