Individual
MS. CHARLENE ELIZABETH EMETERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
608 RIVERSIDE DR, ROME, NY 13440-5422
(315) 335-4592
(315) 336-4800
Mailing address
310 E CHESTNUT ST STE 14, ROME, NY 13440-3660
(315) 335-4592
(315) 336-4800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R053289
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02514405
—
NY
Enumeration date
12/28/2006
Last updated
07/08/2007
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