Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 035450R | NY |
NPI | 1003132101 |
---|---|
Provider Name | Ms. Carol Joanne Scorsone |
First Address | Buffalo, NY 14213-1207 |
Second Address | Buffalo, NY 14213-1207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2010 |
Last Update Date | 14/04/2010 |