SAMARITAN LICENSED CLINICAL SOCIAL WORK, PC
Agencies at Ballston Ave, Schenectady, NY

License number
New York P71596
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: DEBORAH LEE VALIQUETTE
Title: OFFICE MANAGER
Phone: (518) 374-3514
Address
Address
220 N Ballston Ave, Schenectady, NY 12302
National Provider ID: 1790015212
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SAMARITAN LICENSED CLINICAL SOCIAL WORK, PC

220 N Ballston Ave, Schenectady, NY 12302

Industry:
Medical Laboratory
Doing business as:
Samaritan Licensed Clinical Social Work P C
Registration:
Mar 30, 2009
State ID:
3792555
Business type:
DOMESTIC PROFESSIONAL CORPORATION
David Olsen, 220 N Ballston Ave, Schenectady, NY 12302 (Physical)

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