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Organization
MICHELLE KWINTNER
Active
Organization
MICHELLE KWINTNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE KWINTNER LCSW-R (THERAPIST)
(607) 592-4134
Entity
Organization
Contact information
Practice address
120 E BUFFALO ST, STE. 7, ITHACA, NY 14850-4266
(607) 592-4134
Mailing address
120 E BUFFALO ST, STE. 7, ITHACA, NY 14850-4266
(607) 592-4134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076591
NY
Other
Enumeration date
02/19/2010
Last updated
09/13/2012
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