Individual
BAILEY ELIZABETH MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
901 LODI ST, SYRACUSE, NY 13203-2826
(315) 253-5383
Mailing address
8834 DAYLIGHT DR, LIVERPOOL, NY 13090-1594
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112615-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112615-01
THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT
NY
Enumeration date
07/15/2021
Last updated
07/15/2021
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