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Individual

MRS. CYNTHIA S DELLAVILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
478 BAY MEADOW DR, WEBSTER, NY 14580-4001
(585) 671-9664
Mailing address
478 BAY MEADOW DR, WEBSTER, NY 14580-4001
(585) 671-9664

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
029051-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029051-1
UNIVERSITY OF THE STATE OF NY EDUCATION DEPT.
NY
Enumeration date
09/22/2011
Last updated
09/22/2011
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