Individual
MRS. ROSEANN FORNAROLA KILDUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CSSW
Contact information
Practice address
136 DOVE TREE LN, ROCHESTER, NY 14626-4726
(585) 503-7900
Mailing address
136 DOVE TREE LN, ROCHESTER, NY 14626-4726
(585) 503-7900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
054908-1
NY
1041S0200X
School Social Worker
Primary
777014
NY
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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