Individual
MRS. ANISSA MARY LIBARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 482-4836
(585) 935-7428
Mailing address
22 AMBUSH LN, CHURCHVILLE, NY 14428-9227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079030
NY
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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