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Individual

CARMEL GOTTSCHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 772-6904
(607) 722-4123
Mailing address
1182 CHENANGO ST, BINGHAMTON, NY 13901-1653
(607) 772-6904
(607) 722-4123

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
10254401
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02997780
NY
Enumeration date
10/08/2021
Last updated
10/08/2021
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