Grace Plvan, LCSW

NPI #1407445992 in Skaneateles, New York

Provider Information

NPI Number: 1407445992
Entity Type: Individual
Name: Grace Plvan, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 11, 2021
Last Updated: Jan 11, 2021

Practice Location

Address: 35 FENNELL ST STE C
City: Skaneateles
State: New York
ZIP Code: 13152-1185
Phone: (315) 256-7554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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