Individual
CAROLINE LAWS HYNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6200
Mailing address
511 LINN ST, ITHACA, NY 14850-3764
(443) 880-1840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112491
NY
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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