Organization
SHAKESPEARE & MUSCENTE LCSW, PLLC
Active
Other names
Life Stages Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ANN MUSCENTE LCSW-R (CERTIFIED SOCIAL WORKER)
(607) 256-4422
Entity
Organization
Contact information
Practice address
122 W COURT ST STE 109, ITHACA, NY 14850-4165
(607) 256-4422
Mailing address
122 W COURT ST STE 109, ITHACA, NY 14850-4165
(607) 256-4422
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
032365R
NY
251S00000X
Community/Behavioral Health Agency
045779R
NY
251S00000X
Community/Behavioral Health Agency
Primary
053368R
NY
251S00000X
Community/Behavioral Health Agency
PR053077-1
NY
Other
Enumeration date
02/17/2009
Last updated
01/28/2010
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