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1194040527
PAMELA JEAN FORTINO
SYRACUSE, NY
NPI
1194040527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 73057784)
Enumeration Date
2010-03-29
Last Update Date
2010-03-29
Business Address
-- PAMELA JEAN FORTINO LCSW
620 MADISON ST
SYRACUSE, NY 13210-2319
Phone number: 315-426-7721
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Mailing Address
-- PAMELA JEAN FORTINO LCSW
620 MADISON ST
SYRACUSE, NY 13210-2319
Phone number: 315-426-7721
Copy
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