MR. Michael Stephen Dautrich, LCSW-R

NPI #1588235386 in Cayuga, New York

Provider Information

NPI Number: 1588235386
Entity Type: Individual
Name: MR. Michael Stephen Dautrich, LCSW-R
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW-R
Enumeration Date: Jul 2, 2021
Last Updated: Jul 2, 2021

Practice Location

Address: 480 TURNPIKE RD
City: Cayuga
State: New York
ZIP Code: 13034-2120
Phone: (315) 916-4126

Specialties & Taxonomy Codes

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

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