Individual
MRS. ANNI MCENTIRE GRUTTADARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6901
(585) 368-6996
Mailing address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6901
(585) 368-6996
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
096539
NY
Other
Enumeration date
05/05/2020
Last updated
04/20/2021
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