Individual
CHERYL A GAYDOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
201 EAST GREEN ST, ITHACA, NY 14850
(607) 274-6200
(607) 274-6258
Mailing address
201 EAST GREEN ST, ITHACA, NY 14850
(607) 274-6200
(607) 274-6258
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R0345951
NY
Other
Enumeration date
07/25/2006
Last updated
09/28/2013
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