Individual
CARRIE TIRINATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827
(607) 687-4000
(607) 687-6396
Mailing address
30 IRIS DR, APALACHIN, NY 13732-1533
(315) 395-1157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00618162
—
NY
01
—
075013
LMSW LICENSE NUMBER
NY
Enumeration date
06/01/2011
Last updated
06/01/2011
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