Individual
ANN MILLIKEN GEROULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
407 W WATER ST, ELMIRA, NY 14905-2562
(607) 734-0980
(607) 734-0981
Mailing address
407 W WATER ST, ELMIRA, NY 14905-2562
(607) 734-0980
(607) 734-0981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1062441
NY
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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