Tina Marie Lass LMSW

NPI 1073639910 - Social Worker - 1041C0700X

NPI Details
NPI 1073639910
Gender Female
Enumeration Date 03/22/2007
Last Updated 02/22/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
316 ELM ST
PENN YAN NY, 14527-1410, US
Phone (315) 536-6241
Fax (315) 536-8773
Business Location
PENN YAN NY, 14527, US
Phone (315) 536-6241
Fax (315) 536-8773
Taxonomy Code 1041C0700X
License State New York
License Number 0761141
Remove 1073639910 NPI Number

According to our database, Ms. Tina Marie Lass LMSW NPI is 1073639910, taxonomy code is 1041C0700X and license number is 0761141, license state is located at New York. Tina Marie Lass LMSW physically located at 316 Elm St, Penn Yan NY, 14527-1410. NPI Number Tina Marie Lass LMSW has the Individual type.

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1073639910 NPI number is provided on an as is basis without warranty of any kind. 1073639910 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Marie Lass LMSW are for informational purposes only.