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Mr. Guy Langdon Maryott, LCSW-R
Mental Health Counselor in Elmira, New York
NPI 1952670143

Guy Langdon Maryott is a Mental Health Counselor based in Elmira, NY and is specialized in Mental Health. Guy Langdon Maryott practices in Elmira, NY and has the professional credentials of LCSW-R. The NPI Number for Guy Langdon Maryott is 1952670143 and holds a License No. R054744-1 (New York).

The current practice location address for Guy Langdon Maryott is 459 Philo Rd, Elmira, NY and can be reached out via phone at 607-795-2241.

Location: 459 Philo Rd, Elmira, NY, 14903-1051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952670143
Provider Name
Guy Langdon Maryott
Credential
LCSW-R
Provider Entity Type
Individual
Gender
Male
Address
459 Philo Rd, Elmira, NY, 14903-1051
Phone Number
607-795-2241
Fax Number
Provider Enumeration Date
12/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R054744-1 01 NY LICENSED CLINICAL SOCIAL WORKER
institution
Provider Business Practice Location Address Details
Address
459 Philo Rd
City
Elmira
State
New York
Zip
14903-1051
Phone Number
607-795-2241
Fax Number
person
Provider Business Mailing Address Details
Address
459 Philo Rd
City
Elmira
State
New York
Zip
14903-1051
Phone Number
607-795-2241
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
R054744-1 (New York)
Definition
Definition to come...
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