Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 074385-1 | NY |
NPI | 1003053224 |
---|---|
Provider Name | Catherine Adlesic |
First Address | Ossining, NY 10562-2001 |
Second Address | Ossining, NY 10562-2001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2009 |
Last Update Date | 09/01/2009 |