Individual
MS. BERNADETTE CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
239 GOLDEN HILL LN, KINGSTON, NY 12401-6441
(845) 340-4000
(845) 340-4070
Mailing address
PO BOX 3482, KINGSTON, NY 12402-3482
(845) 340-4000
(845) 340-4070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R029812-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R029812-1
LCSWR
NY
Enumeration date
11/29/2006
Last updated
07/08/2007
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