KEITH TIMMERMANN FADELICI

POUGHKEEPSIE, NY
NPI1699942599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R055720)
Enumeration Date2008-05-11
Last Update Date2008-05-11
Business Address
Mr. KEITH TIMMERMANN FADELICI L.C.S.W.
202 HOOKER AVE
POUGHKEEPSIE, NY 12603-3329
Phone number: 845-206-8175
Mailing Address
Mr. KEITH TIMMERMANN FADELICI L.C.S.W.
202 HOOKER AVE
POUGHKEEPSIE, NY 12603-3329
Phone number: 845-206-8175