Doctor Name: | MARY R BADO |
NPI Number: | 1033163431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWR |
License Number: | R051626 |
Business Practice Address: | 1019 E Water St Elmira, NY - 149013332 |
Business Phone Number: | 6077335696 |
Business Fax Number: | 6077371379 |
Mailing Address: | Po Box 305, OWEGO |
State: | NY |
Postal Code: | 138270305 |
Phone Number: | 6077335696 |
Fax Number: | 6077371379 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R051626 |
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 |