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1164989505
JESSICA DETOR
SYRACUSE, NY
NPI
1164989505
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Former Name
JESSICA CAMP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 068827)
Enumeration Date
2019-02-21
Last Update Date
2019-02-21
Business Address
JESSICA DETOR LMSW
4900 BROAD RD PHYSICIAN OFFICE BUILDING NORTH 3N
SYRACUSE, NY 13215-2265
Phone number: 315-949-1031
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Mailing Address
JESSICA DETOR LMSW
4900 BROAD RD POB NORTH 3N
SYRACUSE, NY 13215-2265
Phone number:
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