MR. Stephan P Michener, LCSW

NPI #1699840009 in Fairport, New York

Provider Information

NPI Number
1699840009
Entity Type
Individual
Name
MR. Stephan P Michener, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Nov 21, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
6780 PITTSFORD PALMYRA RD
ZIP Code
14450-3360
Phone
(585) 383-4478

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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