Davidson, Marisa A
Davidson, Marisa A is an individual health care provider with primary practice located at 65 Fording Place Rd , Lake Katrine NY 12449-5221. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Davidson, Marisa A can be contacted via phone (845) 943-3650.Contact Information
Primary practice address
65 Fording Place Rd
Lake Katrine NY 12449-5221
Phone: (845) 943-3650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 083272 | New York |
Profile Details
| NPI number | 1962383778 |
|---|---|
| LBN Legal business name | Davidson, Marisa A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2025 |
| Last updated | Sep 9th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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