Cultivating Growth Licensed Clinical Social Work, P.l.l.c.

NPI #1932639200 in Ithaca, New York

Provider Information

NPI Number
1932639200
Entity Type
Organization
Organization Name
Cultivating Growth Licensed Clinical Social Work, P.l.l.c.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 19, 2017
Last Updated
Jun 19, 2017

Practice Location

Address
301 S GENEVA ST
City
Ithaca
ZIP Code
14850-5445
Phone
(607) 280-0550

Authorized Official

Name
ANDRE L WILLIAMS, LCSW
Title
MEMBER
Phone
(607) 280-0550

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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