STEPHAN P MICHENER

FAIRPORT, NY
NPI1699840009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  R033475-1)
Enumeration Date2006-11-21
Last Update Date2007-07-09
Business Address
MR. STEPHAN P MICHENER LCSW
6780 PITTSFORD PALMYRA RD
FAIRPORT, NY 14450-3360
Phone number: 585-383-4478
Mailing Address
MR. STEPHAN P MICHENER LCSW
6780 PITTSFORD PALMYRA RD
FAIRPORT, NY 14450-3360
Phone number: 585-383-4478
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