Individual
MARY ROSE NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2630 REMINGTON RD, UTICA, NY 13501-6313
(315) 368-6755
Mailing address
134 FARMINGTON RD, UTICA, NY 13501-6321
(315) 534-5354
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
11831401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11831401
—
NY
Enumeration date
11/29/2022
Last updated
12/19/2022
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