Coast to Coast Lcsw Pllc

NPI #1861120628 in Ithaca, New York

Provider Information

NPI Number: 1861120628
Entity Type: Organization
Organization Name: Coast to Coast Lcsw Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 10, 2022
Last Updated: Aug 10, 2022

Practice Location

Address: 208 N MEADOW ST UNIT 2
City: Ithaca
State: New York
ZIP Code: 14850-4027
Phone: (607) 319-3036

Authorized Official

Name: MRS. JULIE ANN TATOWICZ, LCSW
Title: OWNER
Phone: (607) 319-3036

Specialties & Taxonomy Codes

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

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