Grace Plvan, LCSW
Social Worker, Clinical in Skaneateles, NY. Individual provider (NPI-1).
NPI number1407445992
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1407445992
- Entity type
- Individual (NPI-1)
- Name
- Grace Plvan
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2021
- Certification date
- Jan 11, 2021
- Last updated
- Jan 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 081176 | NY | Yes |
Practice location
35 Fennell St Ste CSkaneateles, NY 13152-1185
Phone 315-256-7554
Mailing address
3766 Melrose RdAuburn, NY 13021-9297
Phone 315-256-7554
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