Lauren Michelle Canonico LCSW

NPI 1114151909 - Social Worker - 1041C0700X

NPI Details
NPI 1114151909
Gender Female
Enumeration Date 05/07/2009
Last Updated 12/01/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
26 W 9TH ST
SUITE 8A
NEW YORK NY, 10011-8971, US
Phone (646) 470-1163
Fax
Business Location
26 W 9TH ST
SUITE 8A
NEW YORK NY, 10011-8971, US
Phone (646) 470-1163
Fax (212) 760-9826
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 078111-1
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According to our database, Ms. Lauren Michelle Canonico LCSW NPI is 1114151909, taxonomy code is 1041C0700X and license number is 078111-1, license state is located at New York. Lauren Michelle Canonico LCSW physically located at 26 W 9th St, New York NY, 10011-8971. NPI Number Lauren Michelle Canonico LCSW has the Individual type.

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1114151909 NPI number is provided on an as is basis without warranty of any kind. 1114151909 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Michelle Canonico LCSW are for informational purposes only.