Individual
AJA CABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 HERKIMER RD, UTICA, NY 13502-2309
(315) 832-4698
Mailing address
17 HERKIMER RD, UTICA, NY 13502-2309
(315) 832-4698
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123416-01
NY
104100000X
Social Worker
P124911
NY
Other
Enumeration date
11/02/2023
Last updated
09/19/2024
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