Individual
STACI CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 SCIO STREET, ROCHESTER, NY 14605-2660
(585) 262-8850
(585) 922-1020
Mailing address
PO BOX 10787, ROCHESTER, NY 14610-0787
(585) 922-1124
(585) 922-1020
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
071843
NY
Other
Enumeration date
05/04/2010
Last updated
02/07/2011
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