Organization
A MINDFUL PRACTICE LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GIFFORD (BILLING MANAGER)
(315) 732-9368
Entity
Organization
Contact information
Practice address
37 N ANN ST, LITTLE FALLS, NY 13365-1373
(315) 732-9371
Mailing address
37 N ANN ST, LITTLE FALLS, NY 13365-1373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0784091
NY
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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