Individual
CATHRYN J. BECKER BLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827
(607) 687-4000
(607) 687-6396
Mailing address
1062 STATE ROUTE 38, PO BOX 177, OWEGO, NY 13827
(607) 687-4000
(607) 687-6396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
045756
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00618162
GROUP MEDICAID NUMBER
NY
01
—
39062A
GROUP MEDICARE NUMBER
NY
Enumeration date
09/14/2009
Last updated
09/14/2009
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