Provider Demographics
NPI:1780183004
Name:BRUTON, MARY FRANCESCA (LMSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:FRANCESCA
Last Name:BRUTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:786 TURNER RD
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:NY
Mailing Address - Zip Code:14522-9558
Mailing Address - Country:US
Mailing Address - Phone:585-313-1255
Mailing Address - Fax:
Practice Address - Street 1:85 ADAMS ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14608-2210
Practice Address - Country:US
Practice Address - Phone:585-454-3525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102880-11041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool