Individual
MRS. SANDRA MARIE MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
459 PHILO RD, ELMIRA, NY 14903-1051
(607) 795-2241
(607) 795-2242
Mailing address
459 PHILO RD, ELMIRA, NY 14903-1051
(607) 795-2241
(607) 795-2242
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
R055179-1
NY
Other
Enumeration date
11/05/2011
Last updated
11/05/2011
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