National Provider Identifier
Marie-Lucile Mauboussin, MSW, LMSW
Marie-Lucile Mauboussin, MSW, LMSW is listed in the NPPES registry with a primary specialty of School Social Worker in Ithaca, NY and a listed phone number of (607) 277-3062.
Profile Overview
- NPI
- 1811256472
- Provider Type
- Individual
- Primary Specialty
- School Social Worker
- Enumeration Date
- May 16, 2012
- Last Updated
- May 16, 2012
Practice Location
- 501 Mitchell St
- Ithaca, NY 14850-6148
Phone: (607) 277-3062
Mailing Address
- 10 Woodcrest Ave
- Ithaca, NY 14850-6222
Specialties
- School Social Worker (1041S0200X)
Full Record
- NPI
- 1811256472
- Entity Type
- Individual
- Last Name
- Mauboussin
- First Name
- Marie-Lucile
- Credential
- MSW, LMSW
- Mailing Street Address
- 10 Woodcrest Ave
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-6222
- Mailing Country
- US
- Mailing Phone
- (607) 227-3326
- Practice Street Address
- 501 Mitchell St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-6148
- Practice Country
- US
- Practice Phone
- (607) 277-3062
- Enumeration Date
- May 16, 2012
- Last Updated
- May 16, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Social Worker (1041S0200X)
- Other Identifiers
- 7379617 (NY, New York State Office Of Registration Certificate)