Individual
JASON DEITCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
40 N MAIN AVE, ALBANY, NY 12203-1481
(518) 453-6772
Mailing address
40 N MAIN AVE, ALBANY, NY 12203-1481
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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