Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 73037510 | NY |
NPI | 1003174665 |
---|---|
Provider Name | Adrienne Strother |
First Address | Poughkeepsie, NY 12601-2841 |
Second Address | Poughkeepsie, NY 12601-2841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2012 |
Last Update Date | 01/05/2012 |