Individual
ALIDA MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1000 ELMWOOD AVE, ROCHESTER, NY 14620-3042
(585) 271-2520
(585) 298-6070
Mailing address
5088 FOSTER RD, CANANDAIGUA, NY 14424-8315
(585) 737-1540
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
06P69483
NY
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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