Individual
CHARLOTTE MARIE TABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT-LP
Contact information
Practice address
165 MAIN ST STE A, CORTLAND, NY 13045-3191
(607) 753-0234
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3191
(607) 753-0234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P133024
NY
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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