Individual
ANDREA ROSA VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
085382
NY
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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