Individual
CAITLIN A ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1220 COFFEEN ST BLDG 17, WATERTOWN, NY 13601-1822
(315) 786-1042
(315) 786-7162
Mailing address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
(315) 782-2643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
121284
NY
104100000X
Social Worker
72-P122497-01
NY
Other
Enumeration date
08/01/2023
Last updated
09/21/2023
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