Individual
MRS. CIANNA JUDELLE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
221 HAMILTON ST, OGDENSBURG, NY 13669-1707
(315) 541-3042
Mailing address
221 HAMILTON ST, OGDENSBURG, NY 13669-1707
(315) 541-3042
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222412205
—
NY
Enumeration date
07/19/2021
Last updated
07/19/2021
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