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1689449837
DETRICK BERNARD BIRKS
SYRACUSE, NY
NPI
1689449837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 116221-01)
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
DETRICK BERNARD BIRKS LMSW
620 ERIE BLVD W
SYRACUSE, NY 13204-2445
Phone number: 315-425-4400
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Mailing Address
DETRICK BERNARD BIRKS LMSW
1407 LANCASTER AVE
SYRACUSE, NY 13210-3333
Phone number: 773-531-9521
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