A Mindful Practice Lcsw PC

NPI #1982081667 in Little Falls, New York

Provider Information

NPI Number: 1982081667
Entity Type: Organization
Organization Name: A Mindful Practice Lcsw PC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 1, 2015
Last Updated: May 1, 2015

Practice Location

Address: 37 N ANN ST
City: Little Falls
State: New York
ZIP Code: 13365-1373
Phone: (315) 732-9371

Authorized Official

Name: MELISSA GIFFORD
Title: BILLING MANAGER
Phone: (315) 732-9368

Specialties & Taxonomy Codes

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

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