Individual provider · Type 1 NPI

Marie-Lucile Mauboussin, MSW, LMSW

School Social Worker · Ithaca, NY

NPI number 1811256472 Active

Practice location

501 Mitchell St
Ithaca, NY 14850-6148

Call (607) 277-3062 Map

Mailing address

10 Woodcrest Ave
Ithaca, NY 14850-6222

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200X048261-1 (NY)

School Social Worker: Definition to come...

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About NPI 1811256472

Marie-Lucile Mauboussin, MSW, LMSW's National Provider Identifier is 1811256472, issued on May 16, 2012. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Ithaca, NY. The record was last updated on May 16, 2012.