Individual
MS. BRENDA LYNNE MARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
2 WILLIAMS ST, SECOND FLOOR, CLINTON, NY 13323-1706
(315) 859-1481
(315) 839-6007
Mailing address
2 WILLIAMS ST, SECOND FLOOR, CLINTON, NY 13323-1706
(315) 859-1481
(315) 839-6007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R046229-1
NY
Other
Enumeration date
09/08/2006
Last updated
11/30/2007
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