Individual
CHAD MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
222 ALEXANDER ST, ROCHESTER, NY 14607-4039
(585) 922-8179
Mailing address
222 ALEXANDER ST, ROCHESTER, NY 14607-4039
(585) 922-8179
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106712-01
NY
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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