MS. Ashley Licata, LMSW

NPI #1962172619 in Oswego, New York

Provider Information

NPI Number: 1962172619
Entity Type: Individual
Name: MS. Ashley Licata, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Sep 15, 2021
Last Updated: Sep 15, 2021

Practice Location

Address: 110 W 6TH ST
City: Oswego
State: New York
ZIP Code: 13126-2507
Phone: (315) 349-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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