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Breanna Ciccarelli, LMSW

Social Worker in Lockport, NY. Individual provider (NPI-1).

NPI number1104235191
StatusActive
Last updated in NPPESAug 5, 2014

Details

NPI
1104235191
Entity type
Individual (NPI-1)
Name
Breanna Ciccarelli
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2014
Last updated
Aug 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker084688-1NYYes

Practice location

5467 Upper Mountain Rd Ste 200
Lockport, NY 14094-1854

Phone 716-278-8176 · Fax 716-278-8130

Mailing address

5467 Upper Mountain Rd Ste 200
Lockport, NY 14094-1854

Phone 716-278-8176 · Fax 716-278-8130

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