JOHNNY FANG

ITHACA, NY
NPI1922872498
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  121286)
Enumeration Date2023-11-14
Last Update Date2023-11-14
Business Address
JOHNNY FANG MSW, LMSW
201 E GREEN ST FL 4
ITHACA, NY 14850-5635
Phone number: 607-274-6338
Mailing Address
JOHNNY FANG MSW, LMSW
408 W CLINTON ST APT 1
ITHACA, NY 14850-5265
Phone number: 857-654-0744
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