MS. Beth A Canouse-Midura, LCSW

NPI #1265462998 in Ithaca, New York

Provider Information

NPI Number: 1265462998
Entity Type: Individual
Name: MS. Beth A Canouse-Midura, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jul 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 201 EAST GREEN ST
City: Ithaca
State: New York
ZIP Code: 14850
Phone: (607) 274-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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