Individual
CARRIE ANN HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
203 COURT ST, BINGHAMTON, NY 13901-3601
(607) 772-9100
Mailing address
500 ODELL AVE, ENDICOTT, NY 13760-2137
(607) 759-2188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
084648
NY
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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