Michael Stanley, LCSW
Social Worker, Clinical in Rochester, NY. Individual provider (NPI-1).
NPI number1114477635
StatusActive
Last updated in NPPESOct 7, 2016
Details
- NPI
- 1114477635
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Stanley
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2016
- Last updated
- Oct 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 076577-1 | NY | Yes |
Practice location
1111 Elmwood AveRochester, NY 14620-3005
Phone 585-241-1944
Mailing address
1111 Elmwood AveRochester, NY 14620-3005
Phone 585-241-1944
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