Individual
MRS. BROOKE A DIMARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3852
(315) 738-3125
(315) 738-4450
Mailing address
1400 NOYES ST, UTICA, NY 13502-3852
(315) 738-3125
(315) 738-4450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R077961-1
NY
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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