Individual
CORINNA MARIE EVANCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 ACADEMY ST, CANDOR, NY 13743
(697) 659-5020
Mailing address
PO BOX 145, CANDOR, NY 13743-0145
(607) 659-5020
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
091833
NY
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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