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Kathleen Rodgers, LCSW

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

NPI number1962500355
StatusActive
Last updated in NPPESJul 15, 2014

Details

NPI
1962500355
Entity type
Individual (NPI-1)
Name
Ms. Kathleen Rodgers
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 20, 2006
Last updated
Jul 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalR039333-1NYYes

Practice location

40 Hartwood Rd
Ithaca, NY 14850-9696

Phone 607-277-0438 · Fax 607-277-0438

Mailing address

40 Hartwood Rd
Ithaca, NY 14850-9696

Phone 607-277-0438 · Fax 607-277-0438

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