Individual
BARBARA J LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
411 E SENECA ST, ITHACA, NY 14850-4407
(607) 272-3455
Mailing address
411 E SENECA ST, ITHACA, NY 14850-4407
(607) 272-3455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R-069235-1
NY
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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