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Individual

MRS. COURTNEY JANELLE BIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
832 HANSHAW RD, ITHACA, NY 14850-1548
(607) 793-4260
Mailing address
331 JOHNSON HOLLOW RD, MILLPORT, NY 14864-9752
(607) 378-7384

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116310
NY

Other

Enumeration date
04/26/2023
Last updated
04/26/2023
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