Organization
KELLY HROMADA-JOHNSON, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY J HROMADA-JOHNSON LCSW (CLINICAL SOCIAL WORKER)
(607) 316-8826
Entity
Organization
Contact information
Practice address
193 MAIN ST, AFTON, NY 13730-3170
(607) 316-8826
Mailing address
37 S MAIN ST, BAINBRIDGE, NY 13733-1214
(607) 316-8826
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
078509-1
NY
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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