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Organization
DEWITT COUNSELING ASSOCIATES, LCSW, PC
Active
Organization
DEWITT COUNSELING ASSOCIATES, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD T GARDINER LCSWR (OWNER)
(315) 472-7885
Entity
Organization
Contact information
Practice address
890 E BRIGHTON AVE, SYRACUSE, NY 13205-2538
(315) 472-7885
(315) 472-2513
Mailing address
890 E BRIGHTON AVE, SYRACUSE, NY 13205-2538
(315) 472-7885
(315) 472-2513
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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