Individual
CAROLYN MRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6900
Mailing address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRO56488
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400068233
MEDICARE PIN UNDER GROUP J100044293
NY
Enumeration date
06/14/2010
Last updated
03/31/2015
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