Sise, Mary Theresa

Sise, Mary Theresa is an individual health care provider with primary practice located at 596 New Loudon Rd , Latham NY 12110-4024. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sise, Mary Theresa can be contacted via phone (518) 785-8576.

Contact Information

Primary practice address
596 New Loudon Rd Latham NY 12110-4024
Phone: (518) 785-8576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R-039215 New York

Profile Details

NPI number 1265404636
LBN Legal business name Sise, Mary Theresa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Apr 8th, 2013 - about 11 years ago

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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