Individual
CHANTIERIA JOANETTA GADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8100
Mailing address
559 WESTCHESTER AVE, ROCHESTER, NY 14609-4527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095284
NY
1041C0700X
Clinical Social Worker
72 088929
NY
Other
Enumeration date
10/31/2013
Last updated
05/19/2023
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