Individual
ANITA FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 CEDAR ST, ONEIDA, NY 13421-2111
(315) 280-0400
Mailing address
165 MAIN ST., STE A, CORTLAND, NY 13045-3049
(607) 753-0234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
088213
NY
Other
Enumeration date
08/16/2012
Last updated
04/16/2019
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