| Stephanie N. Straub, Lcsw, Pllc | |
|
5111 W Genesee St Camillus NY 13031-2357 | |
| (315) 552-0180 | |
| Not Available |
| Full Name | Stephanie N. Straub, Lcsw, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5111 W Genesee St, Camillus, New York |
| Authorized Official Name and Position | Stephanie Straub (OWNER) |
| Authorized Official Contact | 3155520180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie N. Straub, Lcsw, Pllc 5111 W Genesee St Camillus NY 13031-2357 Ph: (315) 552-0180 | Stephanie N. Straub, Lcsw, Pllc 5111 W Genesee St Camillus NY 13031-2357 Ph: (315) 552-0180 |
| NPI Number | 1235769019 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235769019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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