Provider Information for 1114247145
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MICHELLE ANNE FIORELLI LCSW
Sex: Female
NPI: 1114247145
Last Updated: 2015-07-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1114247145 | ||||||||
| Enumeration Date | 2010-06-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 146 NORTH ST AUBURN, NY 13021-1831 United States Phone: 315-253-0341 | Fax: | ||||||||
| Primary Practice Address | 146 NORTH ST AUBURN, NY 13021-1831 United States Phone: 315-253-0341 | Fax: | ||||||||
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