Doctor Name: | MRS. DEBRA ANN KMAN |
NPI Number: | 1003925082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 070839R |
Business Practice Address: | 60 Midland Dr Norwich, NY - 138151947 |
Business Phone Number: | 6073369914 |
Business Fax Number: | 6073344881 |
Mailing Address: | 479 County Rd 33, NORWICH |
State: | NY |
Postal Code: | 13815 |
Phone Number: | 6073345626 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 070839R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |