Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003201724 |
---|---|
Provider Name | Kacie Switzer |
First Address | Ontario, NY 14519-9139 |
Second Address | Rochester, NY 14606-3113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2015 |
Last Update Date | 27/01/2016 |