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Individual

VIRGINIA BERTSCH QUACKENBUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
471 PENNSYLVANIA AVE, TLC/BOCES, APALACHIN, NY 13732-2501
(607) 748-8261
(607) 748-8262
Mailing address
471 PENNSYLVANIA AVE, TLC/BOCES, APALACHIN, NY 13732-2501
(607) 748-8261
(607) 748-8262

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
062512-1
NY

Other

Enumeration date
12/03/2010
Last updated
12/21/2010
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