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Organization

NICOLE GERACE LCSW PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICOLE GERACE LCSW (SOLE PROPRIETOR)
(607) 432-9039
Entity
Organization

Contact information

Practice address
56 SHEPARD ST STE 1, WALTON, NY 13856-1109
(607) 865-7931
(607) 865-5790
Mailing address
PO BOX 365, WALTON, NY 13856-0365
(607) 865-7931
(607) 865-5790

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R061074
NY

Other

Enumeration date
11/18/2016
Last updated
01/14/2026
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