Provider Information for 1316021371
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Ms. PHILIPPA J PROUDFOOT LCSW-R
Sex: Female
NPI: 1316021371
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1316021371 | ||||||||
| Enumeration Date | 2006-10-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 399 ALEXANDER ST ROCHESTER, NY 14607-1001 United States Phone: 585-325-2160 | Fax:585-546-5954 | ||||||||
| Primary Practice Address | 399 ALEXANDER ST ROCHESTER, NY 14607-1001 United States Phone: 585-325-2160 | Fax:585-546-5954 | ||||||||
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