Individual
MRS. ANDREA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
356 MAIN ST E, RANDOLPH, NY 14772-9696
(216) 509-7673
Mailing address
356 MAIN STREET ER, RANDOLPH, NY 14772-9696
(716) 358-3636
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1101616
OH
1041C0700X
Clinical Social Worker
Primary
086784
NY
Other
Enumeration date
07/18/2015
Last updated
06/20/2023
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