| Mlp Lcsw Pllc | |
|
330 Warrington Dr Rochester NY 14618-1541 | |
| (585) 532-7973 | |
| Not Available |
| Full Name | Mlp Lcsw Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 330 Warrington Dr, Rochester, New York |
| Authorized Official Name and Position | Marie Lynn Pellett (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5858574667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlp Lcsw Pllc Po Box 18459 Rochester NY 14618-0459 Ph: (585) 532-7973 | Mlp Lcsw Pllc 330 Warrington Dr Rochester NY 14618-1541 Ph: (585) 532-7973 |
| NPI Number | 1578380127 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578380127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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