MS. Gina Marie Cannistra, LCSW

NPI #1659746485 in Frankfort, New York

Provider Information

NPI Number: 1659746485
Entity Type: Individual
Name: MS. Gina Marie Cannistra, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 4, 2015
Last Updated: Dec 4, 2015

Practice Location

Address: 228 ELDRED AVE
City: Frankfort
State: New York
ZIP Code: 13340-5119
Phone: (315) 527-5332

Specialties & Taxonomy Codes

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

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