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Organization
MARK B CANTALES, LICENSED CLINICAL SOCIAL WORKER,PC
Active
Organization
MARK B CANTALES, LICENSED CLINICAL SOCIAL WORKER,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CANTALES LCSWR (PRESIDENT)
(607) 372-1020
Entity
Organization
Contact information
Practice address
217 JEFFERSON AVE, ENDICOTT, NY 13760-5244
(607) 372-1020
(607) 239-5328
Mailing address
217 JEFFERSON AVE, ENDICOTT, NY 13760-5244
(607) 372-1020
(607) 239-5328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069788R
NY
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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