Individual
MR. EVAN ANDREW HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 690-3558
Mailing address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 690-3558
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
066439-1
NY
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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