Individual
ANNA PAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
138 N. COURT STREET, WAMPSVILLE, NY 13163-0608
(315) 366-2327
Mailing address
138 N. COURT STREET, WAMPSVILLE, NY 13163-0608
(315) 366-2327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075563
NY
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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