Organization
KATHLEEN LILLEY
Active
Organization
KATHLEEN LILLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LILLEY LCSW-R (PSYCHOTHERAPIST)
(607) 272-8600
Entity
Organization
Contact information
Practice address
233 S ALBANY ST, ITHACA, NY 14850-5403
(607) 272-8600
Mailing address
233 S ALBANY ST, ITHACA, NY 14850-5403
(607) 272-8600
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
RO32001
NY
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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