Individual
MS. CAROL MAE WHITLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
103 W SENECA ST, ITHACA, NY 14850-4157
(607) 272-6529
Mailing address
52 TURKEY HILL RD, ITHACA, NY 14850-2937
(607) 272-6529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079559-1
NY
Other
Enumeration date
05/25/2013
Last updated
05/25/2013
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