Individual
PAUL STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 NORTON ST, ROCHESTER, NY 14621-3732
(585) 467-3131
Mailing address
1951 SENECA AVE, ROCHESTER, NY 14617-4802
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
122088
NY
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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