Breanna Ciccarelli, LMSW

NPI #1104235191 in Lockport, New York

Provider Information

NPI Number: 1104235191
Entity Type: Individual
Name: Breanna Ciccarelli, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Aug 5, 2014
Last Updated: Aug 5, 2014

Practice Location

Address: 5467 UPPER MOUNTAIN RD STE 200
City: Lockport
State: New York
ZIP Code: 14094-1854
Phone: (716) 278-8176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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