Individual
MARILYN CAROL REITENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1402 N CAYUGA ST, ITHACA, NY 14850
(607) 274-2194
Mailing address
1402 N CAYUGA ST, ITHACA, NY 14850
(607) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
050769-1
NY
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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