Individual
CAROL JANE MERRIHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
2778 STATE ROUTE 30, TUPPER LAKE, NY 12986-2519
(518) 359-2636
Mailing address
2778 STATE ROUTE 30, TUPPER LAKE, NY 12986-2519
(518) 359-2636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R046645
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53602A
—
NY
Enumeration date
05/23/2007
Last updated
03/27/2024
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