JESSICA DETOR

SYRACUSE, NY
NPI1164989505
Former NameJESSICA CAMP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  068827)
Enumeration Date2019-02-21
Last Update Date2019-02-21
Business Address
JESSICA DETOR LMSW
4900 BROAD RD PHYSICIAN OFFICE BUILDING NORTH 3N
SYRACUSE, NY 13215-2265
Phone number: 315-949-1031
Mailing Address
JESSICA DETOR LMSW
4900 BROAD RD POB NORTH 3N
SYRACUSE, NY 13215-2265
Phone number: