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NPI Code Detail

MEDICARE: MRS. HARRIET ELIZABETH EMMONS LCSW

MEDICARE:  MRS. HARRIET ELIZABETH EMMONS  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR056791-1NY

General Provider Information

NPI Number : 1265453922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HARRIET ELIZABETH EMMONS LCSW
Provider Business Mailing Address
First Line : 153 MUNGER HOLLOW RD
Second Line :
City : CUBA
State : NY
Zip : 14727-9629
Country : US
Telephone Number : 716-968-1481
Fax Number :
Provider Business Practice Location Address
First Line : 4220 STATE ROUTE 417 W
Second Line :
City : WELLSVILLE
State : NY
Zip : 14895-9332
Country : US
Telephone Number : 585-593-6300
Fax Number : 585-593-7071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. HARRIET ELIZABETH EMMONS LCSW” Practice Location

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