| A & N Licensed Clinical Social Workers, Pllc | |
|
6414 Fantail Ln Cicero NY 13039-8617 | |
| (315) 558-8642 | |
| Not Available |
| Full Name | A & N Licensed Clinical Social Workers, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6414 Fantail Ln, Cicero, New York |
| Authorized Official Name and Position | Nikki A. Harrell (PARTNER) |
| Authorized Official Contact | 3155588642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A & N Licensed Clinical Social Workers, Pllc Po Box 5263 Syracuse NY 13220-5263 Ph: (315) 558-8642 | A & N Licensed Clinical Social Workers, Pllc 6414 Fantail Ln Cicero NY 13039-8617 Ph: (315) 558-8642 |
| NPI Number | 1942968680 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942968680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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