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Organization
ROME EVALUATION & THERAPY
Active
Organization
ROME EVALUATION & THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY QUINN LCSW-R (DIRECTOR)
(315) 337-1537
Entity
Organization
Contact information
Practice address
218 N WASHINGTON ST, ROME, NY 13440-5725
(315) 337-1537
Mailing address
PO BOX 4224, 218 N. WASHINGTON ST., ROME, NY 13442-4224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PO59006-1
—
Other
Enumeration date
07/17/2006
Last updated
06/22/2008
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