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Individual

MS. JANET D. RIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R, CASAC

Contact information

Practice address
2207 BURNET AVE, SYRACUSE, NY 13206-2930
(315) 418-0520
Mailing address
110 ADDISON DR, SYRACUSE, NY 13214-2415
(315) 445-9534

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4003
NY
1041C0700X
Clinical Social Worker
5672053
NY

Other

Enumeration date
11/28/2006
Last updated
09/11/2025
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