Individual
CAROL PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1200
(585) 241-1940
Mailing address
2448 SCOTT RD, MACEDON, NY 14502-9144
(585) 683-8038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R033647-1
NY
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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