ELLEN PETERSON

ITHACA, NY
NPI1760972350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence:   PR043246-1)
Enumeration Date2018-05-18
Last Update Date2018-05-18
Business Address
ELLEN PETERSON LCSW
402 N CAYUGA ST
ITHACA, NY 14850-4291
Phone number: 607-793-4668
Mailing Address
ELLEN PETERSON LCSW
402 N CAYUGA ST
ITHACA, NY 14850-4291
Phone number: 607-793-4668
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