Individual
CARL KUEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6200
Mailing address
201 E GREEN ST, ITHACA, NY 14850-5635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097400-01
NY
Other
Enumeration date
01/22/2018
Last updated
04/23/2024
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