Individual
BREANNA CICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5467 UPPER MOUNTAIN RD STE 200, LOCKPORT, NY 14094-1854
(716) 278-8176
(716) 278-8130
Mailing address
5467 UPPER MOUNTAIN RD STE 200, LOCKPORT, NY 14094-1854
(716) 278-8176
(716) 278-8130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084688-1
NY
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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