Individual
ANDREA FEDORUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6900
Mailing address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
053976
NY
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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