Individual
BRYANNA RAE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1019 E WATER ST, ELMIRA, NY 14901-3332
(607) 737-2490
(607) 737-2495
Mailing address
1019 E WATER ST, ELMIRA, NY 14901-3332
(607) 737-2490
(607) 737-2495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085732
NY
1041C0700X
Clinical Social Worker
090737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090737
—
NY
Enumeration date
11/22/2013
Last updated
07/21/2022
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