Individual
CATHERINE MARY FAUCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWINDIVIDUAL
Contact information
Practice address
2105 W GENESEE ST, STE 113, SYRACUSE, NY 13219-1656
(315) 744-0061
Mailing address
4956 HORIZON TER, SYRACUSE, NY 13215-1258
(315) 744-0061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074451-1
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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