Individual
CAROL H CLENDENIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
112 KIMBALL AVE, PENN YAN, NY 14527-1816
(315) 536-2752
(315) 536-4005
Mailing address
14 MAIDEN LN, PENN YAN, NY 14527-1208
(315) 531-9103
(315) 521-9103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0277941
NY
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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