Organization
220 FRONT STREET LLC
Active
Other names
Mario Nunes, LCSW-R
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO NUNES LCSW-R (CLINICAL SOCIAL WORKER)
(607) 222-9913
Entity
Organization
Contact information
Practice address
220 FRONT ST, VESTAL, NY 13850-1514
(607) 222-9913
(607) 821-4855
Mailing address
220 FRONT ST, VESTAL, NY 13850-1514
(607) 222-9913
(607) 821-4855
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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