Provider Information for 1043687841
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COURTNI ELIZABETH HURD LCSW
Sex: Female
NPI: 1043687841
Last Updated: 2024-06-05
Certification Date: 2024-06-05
Certification Date: 2024-06-05
Details
Name | Value | ||||||||||||
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NPI | 1043687841 | ||||||||||||
Enumeration Date | 2015-08-27 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | PO BOX 1357 PITTSFORD, NY 14534-8357 United States Phone: 315-288-3480 | Fax: | ||||||||||||
Primary Practice Address | PO BOX 1357 PITTSFORD, NY 14534-8357 United States Phone: 917-972-9237 | Fax: | ||||||||||||
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