Individual
CARISSA ELIZABETH GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
635 JAMES ST STE 1, SYRACUSE, NY 13203-2661
(315) 671-3088
Mailing address
635 JAMES ST STE 1, SYRACUSE, NY 13203-2661
(315) 671-3088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110795
NY
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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