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Individual

MRS. KIM PAULETTE CAFORIO-NUNCIATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
20 ENFIELD MAIN RD, ENFIELD ELEMENTARY SCHOOL, ITHACA, NY 14850-9367
(607) 274-2221
(607) 274-6810
Mailing address
789 MACBEAN LN, CORTLAND, NY 13045-9387
(607) 753-0994

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
041058-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041058-1
SOCAIL WORK LICENSE NUMBER
NY
Enumeration date
12/12/2011
Last updated
12/12/2011
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