Individual
BOBBI PETRANCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7550 S STATE ST, LOWVILLE, NY 13367-1533
(315) 376-5450
(315) 785-8628
Mailing address
PO BOX 91, WATERTOWN, NY 13601-0091
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074630
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354316
—
NY
Enumeration date
05/05/2006
Last updated
10/31/2024
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