Individual
MR. BRIAN WILBUR COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
FAMILY & CHILDREN'S SERVICE OF ITHACA, 127 W. STATE ST. FLOOR 1, ITHACA, NY 14850-5474
(607) 273-7494
(607) 273-7484
Mailing address
628 MARY ST, UTICA, NY 13501-2419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082854
NY
Other
Enumeration date
05/29/2012
Last updated
05/07/2019
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