Individual
MS. JUDY CANNATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
88 LAKE HILL RD, BURNT HILLS, NY 12027-9598
(518) 399-9141
(518) 399-4341
Mailing address
88 LAKE HILL RD, BURNT HILLS, NY 12027-9598
(518) 399-9141
(518) 399-4341
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
R070078-1
NY
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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