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Organization
LINDEN OAKS SEXUAL ABUSE TREATMENT SERVICES
Active
Organization
LINDEN OAKS SEXUAL ABUSE TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMANUEL R PETRACCA LCSW (GENERAL PARTNER)
(585) 586-6840
Entity
Organization
Contact information
Practice address
100 LINDEN OAKS STE 200, ROCHESTER, NY 14625-2831
(585) 586-6840
(585) 586-7951
Mailing address
100 LINDEN OAKS STE 200, ROCHESTER, NY 14625-2831
(585) 586-6840
(585) 586-7951
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NY
103TC1900X
Counseling Psychologist
—
NY
1041C0700X
Clinical Social Worker
Primary
—
NY
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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