Individual
ANNIE GRONNINGSATER MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7513 COURT ST, ELIZABETHTOWN, NY 12932
(518) 873-3670
Mailing address
7513 COURT ST, ELIZABETHTOWN, NY 12932
(518) 873-3670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RO31142-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00565040
—
NY
Enumeration date
01/30/2008
Last updated
01/30/2008
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